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Organization

PACIFIC PHYSICIANS LABORATORY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MYLES STANDISH (PRESIDENT)
(425) 774-3751
Entity
Organization

Contact information

Practice address
21313 68TH AVE W, LYNNWOOD, WA 98036-7300
(425) 774-3751
(425) 775-0848
Mailing address
21313 68TH AVE W, LYNNWOOD, WA 98036-7300
(425) 774-3751
(425) 775-0848

Taxonomy

Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
MD00012785
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD00012785
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7127731
WA
Enumeration date
04/18/2006
Last updated
07/26/2011
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