Provider Demographics
NPI:1295960011
Name:VALLEY LABORATORY SERVICES-RENTON
Entity type:Organization
Organization Name:VALLEY LABORATORY SERVICES-RENTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR VICE PRESIDENT, FINANCE, CFO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-656-5536
Mailing Address - Street 1:PO BOX 2670
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-2670
Mailing Address - Country:US
Mailing Address - Phone:800-541-7891
Mailing Address - Fax:509-755-8319
Practice Address - Street 1:400 S 43RD ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5714
Practice Address - Country:US
Practice Address - Phone:425-656-1223
Practice Address - Fax:425-656-5054
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-05-22
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory