Organization
SIGNATURE GENOMIC LABORATORIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASSEM BEJJANI M.D. (MEDICAL DIRECTOR)
(509) 474-6840
Entity
Organization
Contact information
Practice address
2820 N ASTOR ST, SPOKANE, WA 99207-2112
(509) 474-6840
(509) 474-6839
Mailing address
PO BOX 4474, SPOKANE, WA 99220-0474
(509) 474-6840
(509) 474-6839
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS4427
WA
Other
Enumeration date
05/01/2006
Last updated
05/29/2009
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