Organization
EASTSIDE FERTILITY LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES I KUSTIN MD (OWNER)
(425) 688-7740
Entity
Organization
Contact information
Practice address
1370 116TH AVE NE, STE 202, BELLEVUE, WA 98004
(425) 454-8018
(425) 635-0742
Mailing address
1370 116TH AVE NE, STE 100, BELLEVUE, WA 98004
(425) 462-6100
(425) 635-0742
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS-1269
WA
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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