Organization
DYNACARE NORTHWEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B HAYES (CFO EVP TREASURER)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1101 MADISON ST STE 510, SEATTLE, WA 98104-3557
(206) 215-8180
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50D2017153
CLIA
—
Enumeration date
12/27/2010
Last updated
05/16/2013
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