Organization
PEACEHEALTH
Active
Other names
PEACEHEALTH LABORATORIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MORRISON (CHIEF FINANCIAL OFFICER)
(541) 341-8020
Entity
Organization
Contact information
Practice address
123 INTERNATIONAL WAY, SPRINGFIELD, OR 97477-1047
(541) 341-8020
(541) 341-8064
Mailing address
PO BOX 77003, EUGENE, OR 97401-0140
(541) 341-8020
(541) 341-8064
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
38D0626706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518113042
SUBPART NPI
WA
05
—
167520
—
OR
Enumeration date
05/11/2006
Last updated
09/03/2010
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