Organization
OVERLAKE INTERNAL MEDICINE LABORATORY
Active
Parent organization
OVERLAKE INTERNAL MEDICINE ASSOCIATES INC PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
OVERLAKE INTERNAL MEDICINE ASSOCIATES INC PS
Authorized official
MRS. TERESA SCHUBERT (BUSINESS OFFICE MANAGER)
(425) 974-7634
Entity
Organization
Contact information
Practice address
1407 116TH AVE NE, SUITE 200, BELLEVUE, WA 98004-3819
(425) 454-5046
(425) 990-5261
Mailing address
PO BOX 5845, PORTLAND, OR 97228-5845
(425) 454-5281
(425) 454-2062
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS-0111
WA
Other
Enumeration date
12/13/2006
Last updated
07/18/2019
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