Organization
BAYSIDE PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY ALAN GOLDFOGEL M.D. (PRESIDENT)
(360) 734-9033
Entity
Organization
Contact information
Practice address
1500 N STATE ST, BELLINGHAM, WA 98225-4551
(360) 734-9033
(360) 734-0467
Mailing address
1500 N STATE ST, BELLINGHAM, WA 98225-4551
(360) 734-9033
(360) 734-0467
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MD 23314
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7063092
—
WA
01
—
8916146
LABOR AND INDUSTRIES
WA
Enumeration date
03/24/2006
Last updated
08/22/2020
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