Organization
PATHOLOGY ASSOCIATES MEDICAL LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
110 W CLIFF DR STE 300-400, SPOKANE, WA 99204-3614
(800) 349-8586
Mailing address
PO BOX 2720, SPOKANE, WA 99220-4002
(509) 755-8600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D0661605
CLIA
WA
01
—
MTSA.FS.60124213
MTS
WA
Enumeration date
10/09/2009
Last updated
05/09/2018
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