Organization
PEACEHEALTH
Active
Parent organization
PEACEHEALTH LABORATORIES
Other names
PEACEHEALTH LABORATORIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEACEHEALTH LABORATORIES
Authorized official
LARRY MORRISON (CHIEF FINANCIAL OFFICER)
(541) 341-8078
Entity
Organization
Contact information
Practice address
2901 SQUALICUM PKWY, BELLINGHAM, WA 98225-1851
(541) 341-8020
(541) 341-8064
Mailing address
PO BOX 77003, EUGENE, OR 97401-0140
(541) 341-8020
(541) 341-8064
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS1201
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100324
—
WA
Enumeration date
08/15/2008
Last updated
03/01/2010
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