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General NPI Number Information
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NPI Number | 1881559904
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Entity Type | Organization
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Legal Business Name | PACIFIC MEDICAL LABORATORY SERVICES, LLC
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Dates
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Enumeration Date | 12/20/2025
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 917 PACIFIC AVE STE 600
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City | TACOMA
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State | WA
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Zip | 98402-4437
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Country | US
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Telephone | 253-625-7214
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Fax | 253-426-1369
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Provider Business Mailing Address
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Address Line | 917 PACIFIC AVE STE 600
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City | TACOMA
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State | WA
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Zip | 98402-4437
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LABORATORY DIRECTOR
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Name | DR. YUXI GU
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Credential | PHD, HCLD, BCLD
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Telephone | 504-881-6885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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