Healthcare Provider Details
I. General information
NPI: 1922612969
Provider Name (Legal Business Name): ZAIN MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/08/2020
Last Update Date: 09/15/2020
Certification Date: 09/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2630 N COLUMBIA CENTER BLVD STE B
RICHLAND WA
99352-4853
US
IV. Provider business mailing address
2630 N COLUMBIA CENTER BLVD STE B
RICHLAND WA
99352-4853
US
V. Phone/Fax
- Phone: 509-420-5053
- Fax:
- Phone: 509-420-5053
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAMI
ANWAR
Title or Position: OWNER
Credential:
Phone: 509-919-8899