Organization
ECLIPSE MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS VOGELGESANG (PRESIDENT)
(360) 259-4069
Entity
Organization
Contact information
Practice address
3240 14TH AVE NW, OLYMPIA, WA 98502-8509
(360) 790-0767
Mailing address
3240 14TH AVE NW, OLYMPIA, WA 98502-8509
(360) 790-0767
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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