Organization
BLOODWORKS
Active
Other names
Puget Sound Blood Center and Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GLEASON (CHIEF FINANCIAL OFFICER)
(206) 689-6680
Entity
Organization
Contact information
Practice address
921 TERRY AVE, SEATTLE, WA 98104-1239
(206) 292-6500
(206) 689-8365
Mailing address
921 TERRY AVE, SEATTLE, WA 98104-1239
(206) 292-6500
(206) 689-8365
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
FX00004065
WA
331L00000X
Blood Bank
—
WA
3336S0011X
Specialty Pharmacy
PHWH.FX.60073065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578921
—
AK
05
—
1588662084
—
ID
05
—
1588662084
—
MT
05
—
2492700
—
WA
01
—
DO099
RR MEDICARE
—
01
—
G-0001662200
MEDICARE PTAN
—
Enumeration date
07/08/2005
Last updated
05/18/2015
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