Organization
LEGACY LABORATORY SERVICES, LLC
Active
Parent organization
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
Authorized official
PAMELA S VUCKOVICH (SR VP AND CFO)
(503) 415-5730
Entity
Organization
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 413-5050
(503) 413-3212
Mailing address
PO BOX 5337, PORTLAND, OR 97228-5337
(503) 413-4420
(503) 413-4405
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D0625165
OR
Other
Enumeration date
10/28/2008
Last updated
04/14/2009
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