Whalio Doctors

NPI 1700329828

Braincare, LLC

Organisation Physiological Laboratory Bothell, WA

Practice location

Address
19909 120th Ave NE STE 203, Bothell, WA 98011-8242
Phone
(866) 848-2522
Fax
(877) 290-1544
Mailing address
2670 Firewheel Dr STE B, Flower Mound, TX 75028-4601

Authorised official

Name
Janice Shock
Title
Sr Director of Operations
Phone
(214) 532-3757

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1700329828
Entity type
Organization
NPI issued
21 Nov 2016
Record last updated
15 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.