Organization
TRI-CITIES LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
6710 W OKANOGAN PL RM, KENNEWICK, WA 99336-8001
(509) 942-2528
Mailing address
PO BOX 2688, SPOKANE, WA 99220-2688
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D2108309
CLIA
—
Enumeration date
09/06/2018
Last updated
09/06/2018
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