NORTHERN PACIFIC DIAGNOSTICS, PC
Medical Laboratory at Daggett Ave, Klamath Falls, OR

License number
Oregon 38D1000455
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MIGUEL MONTES M.D.
Title: PRESIDENT
Phone: (541) 664-5151
Address
Address 2
2865 Daggett Ave, Klamath Falls, OR 97601
1208 Beall Ln, Medford, OR 97502
National Provider ID: 1396837340
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHERN PACIFIC DIAGNOSTICS, PC

Klamath Falls, OR

Registration:
May 1, 2002
Addresses:
1010 Main St, Klamath Falls, OR 97601 (Physical)
Klamath Falls, OR 97601 (Mailing)
State ID:
7893795
Business type:
Domestic Professional Corporation
Agent:
Miguel Amontes,745 Pacific Ter, Klamath Falls, OR 97601 (Physical)

Medical Laboratory licenses in Oregon

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