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Contact Information

EASTSIDE FERTILITY LAB INC
1370 116TH AVE NE
STE 202
BELLEVUE, WA98004
 Phone: 425-454-8018
 Fax: 425-635-0742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for EASTSIDE FERTILITY LAB INC

NPI Number 1689731945
LBN Legal business name EASTSIDE FERTILITY LAB INC
Authorized official JAMES KUSTIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # MTS-1269
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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