Provider Demographics
NPI:1699918714
Name:NATURAL MOLECULAR TESTING CORP.
Entity type:Organization
Organization Name:NATURAL MOLECULAR TESTING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LAB DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:AOKI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:206-402-4596
Mailing Address - Street 1:454 N 34TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8602
Mailing Address - Country:US
Mailing Address - Phone:888-442-8881
Mailing Address - Fax:
Practice Address - Street 1:454 N 34TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8602
Practice Address - Country:US
Practice Address - Phone:888-442-8881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602885020291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory