MEDTRIQ LLC NPI 1841605524

NPI Information

MEDTRIQ LLC is a primary care clinic center in University Place, WA. MEDTRIQ LLC NPI is 1841605524. The provider is registered as an organization entity type.

The provider's business location address is:

2603 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA
ZIP 98466-724
Phone: (253) 666-6780
Fax: (253) 666-6793

The provider's authorized official is Ajainder Shergill .
The authorized official title is Owner and has the following contact phone number (360) 334-1882.

The CLIA number assigned to this NPI record is 50D2139366 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/21/2014 and was last updated on 8/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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