Organization
HOLTER LABS
Active
Organization
HOLTER LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MIRANDO (OWNER)
(888) 821-4667
Entity
Organization
Contact information
Practice address
7327 SW BARNES RD, PORTLAND, OR 97225-6119
(888) 821-4667
(888) 821-4677
Mailing address
PO BOX 25408, PORTLAND, OR 97298-0408
(888) 821-4667
(888) 821-4677
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
00059578
CA
291U00000X
Clinical Medical Laboratory
00089823
OR
Other
Enumeration date
09/08/2008
Last updated
04/15/2013
Update your record
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