| Al'ta Testing Labs L.l.c. | |
|
702 Broadway Suite 102 Tacoma WA 98402-3735 | |
| (253) 473-7586 | |
| (253) 590-0211 |
| Full Name | Al'ta Testing Labs L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 702 Broadway, Tacoma, Washington |
| Authorized Official Name and Position | Jeremy Matheson Wekell (ADMINISTRATOR) |
| Authorized Official Contact | 2534737586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Al'ta Testing Labs L.l.c. 702 Broadway Suite 102 Tacoma WA 98402-3735 Ph: (253) 473-7586 | Al'ta Testing Labs L.l.c. 702 Broadway Suite 102 Tacoma WA 98402-3735 Ph: (253) 473-7586 |
| NPI Number | 1346547064 |
|---|---|
| Provider Enumeration Date | 02/15/2011 |
| Last Update Date | 02/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346547064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 27145100 (Washington) | Primary |
| 291U00000X | Clinical Medical Laboratory | 27145100 (Washington) | Secondary |
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