Whalio Doctors

NPI 1891876546

South Coast Radiologists

Organisation Physiological Laboratory Coos Bay, OR

Practice location

Address
2650 N 17th St, Coos Bay, OR 97420-2134
Phone
(541) 267-5411
Fax
(541) 267-4898

Authorised official

Name
Ross Siebert
Title
Coo
Phone
(858) 455-7127

Registered specialties

Physiological Laboratory Primary
Laboratories Taxonomy 293D00000X

Registry record

NPI
1891876546
Entity type
Organization
NPI issued
18 Oct 2006
Record last updated
18 Jul 2007

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.