Organization
CELLNETIX PATHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J RANDALL BOREK (CFO)
(206) 576-6138
Entity
Organization
Contact information
Practice address
2490 S WOODWORTH LOOP, SUITE 410, PALMER, AK 99645-7405
(866) 236-8296
Mailing address
1124 COLUMBIA ST, SUITE 200, SEATTLE, WA 98104-2026
(866) 236-8296
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZI0100X
Immunopathology Physician
—
—
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
02/26/2026
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