Provider First Line Business Practice Location Address:
1959 NE PACIFIC STREET
Provider Second Line Business Practice Location Address:
DEPARTMENT OF LABORATORY MEDCINE, RM NW120, BOX 357110
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-598-6137
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/27/2015