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Contact Information

PACIFIC PHYSICIANS LABORATORY, INC.
21313 68TH AVE W
LYNNWOOD, WA98036-7300
 Phone: 425-774-3751
 Fax: 425-775-0848
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PACIFIC PHYSICIANS LABORATORY, INC.

NPI Number 1760447452
LBN Legal business name PACIFIC PHYSICIANS LABORATORY, INC.
Authorized official MYLES STANDISH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2006
Last updated 07/26/2011 - About 15 years ago
Identifiers
WA License # MD00012785
WA Medicaid 7127731
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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