Organization
RELIANT RX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY MARIE KROETCH (CEO)
(509) 343-3400
Entity
Organization
Contact information
Practice address
125 S COWLEY ST, SPOKANE, WA 99202-1500
(509) 343-3400
(509) 370-7323
Mailing address
125 S COWLEY ST, SPOKANE, WA 99202-1500
(509) 343-3400
(509) 370-7323
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MTS-5217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D1079339
WASHINGTON STATE DEPARTMENT OF HEALTH MEDICAL TEST SITE LICENSE
WA
Enumeration date
06/24/2008
Last updated
06/24/2008
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