1356968440 Ms. Jennifer Wallace

Clinical Medical Laboratory

Active

Basic Information

Full Name
Ms. Jennifer Wallace
Gender
Female
Enumeration Date
July 6, 2020
Last Update
April 22, 2025

Practice Location

Address
3123 FAIRVIEW AVE E STE 200
SEATTLE, WA 981023051
Phone
(480) 685-7530
Fax
(480) 900-8853

Mailing Address

Address
3409 MCDOUGALL AVE STE 200
EVERETT, WA 982015040
Phone
(480) 685-7530
Fax
(480) 900-8853

Specialties & Taxonomies

Specialty Code Classification License State Primary
Driver
172A00000X Driver WDL722Z7B13B WA No
Technician/Technologist
156F00000X Technician/Technologist N/A N/A No
Phlebotomy Technician
Phlebotomy
246RP1900X Technician, Pathology PC61547365 WA No
Other Technician
247200000X Technician, Other 032016 AZ No
Nursing Care Agency
251J00000X Nursing Care 03D2197602 AZ No
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory 03D2197602 AZ No
Home Health Aide
374U00000X Home Health Aide N/A AZ No
Home Health Aide
374U00000X Home Health Aide EXPERIENCED AZ No
Clinical Medical Laboratory
291U00000X Clinical Medical Laboratory 1568068609 AZ Primary

Other Identifiers

Identifier Type State Issuer
MTSW.FS.61686172 01 WA MEDICAL TEST SITE CLIA
03D2197602 01 AZ CLIA
PC61547365 01 WA PHLEBOTOMY LICENSE

Frequently Asked Questions

What is Ms. Jennifer Wallace's NPI number?
Ms. Jennifer Wallace's NPI number is 1356968440.
Which doctor has NPI number 1356968440?
The doctor with NPI number 1356968440 is Ms. Jennifer Wallace.
What is Ms. Jennifer Wallace's practice address?
Ms. Jennifer Wallace's practice address is 3123 FAIRVIEW AVE E STE 200, SEATTLE, WA, 981023051.
Which doctor practices at 3123 FAIRVIEW AVE E STE 200, SEATTLE, WA, 981023051?
Ms. Jennifer Wallace practices at 3123 FAIRVIEW AVE E STE 200, SEATTLE, WA, 981023051.
What is Ms. Jennifer Wallace's mailing address?
Ms. Jennifer Wallace's mailing address is 3409 MCDOUGALL AVE STE 200, EVERETT, WA, 982015040.
What is Ms. Jennifer Wallace's phone number?
Ms. Jennifer Wallace's phone number is (480) 685-7530.
Who is (480) 685-7530?
(480) 685-7530 is the phone number for Ms. Jennifer Wallace.
What is Ms. Jennifer Wallace's specialty?
Ms. Jennifer Wallace's specialty is Clinical Medical Laboratory.
What type of doctor is Ms. Jennifer Wallace?
Ms. Jennifer Wallace is a Clinical Medical Laboratory.
Is Ms. Jennifer Wallace a Clinical Medical Laboratory?
Yes, Ms. Jennifer Wallace is a Clinical Medical Laboratory.
Is Ms. Jennifer Wallace still practicing?
Yes, Ms. Jennifer Wallace is currently practicing.
Is Ms. Jennifer Wallace accepting new patients?
Ms. Jennifer Wallace may be accepting new patients. Please call their office at (480) 685-7530 to inquire about availability.
Is NPI 1356968440 still active?
Yes, NPI 1356968440 is currently active.
Where does Ms. Jennifer Wallace practice?
Ms. Jennifer Wallace practices in SEATTLE, WA.
Is Ms. Jennifer Wallace a male or female doctor?
Ms. Jennifer Wallace is a female doctor.