Organization Name: | ARCUS LABORATORY |
NPI Number: | 1144653601 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE MCGOWAN (OWNER) |
Mailing Address: | 5701 Ne Bothell Way Suite 7 Kenmore |
State: | WA US |
Postal Code: | 980289400 |
Phone Number: | 4254832438 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2013 |
NPI Last Update Date: | 08/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 292200000X |
License Number: | 601198082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Dental Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A commercial laboratory specializing in the construction of dental appliances that conform to a dentist |