Provider Demographics
NPI:1679918296
Name:K&D LABORATORIES, INC.
Entity Type:Organization
Organization Name:K&D LABORATORIES, INC.
Other - Org Name:PURITY LABS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-525-2733
Mailing Address - Street 1:6305 SW ROSEWOOD STREET SUITE B
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-5388
Mailing Address - Country:US
Mailing Address - Phone:503-297-3636
Mailing Address - Fax:503-977-3636
Practice Address - Street 1:6305 ROSEWOOD ST STE B
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-5388
Practice Address - Country:US
Practice Address - Phone:503-297-3636
Practice Address - Fax:503-977-3636
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory