Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JENNIFER WALLACE
Active Sole ProprietorMS. JENNIFER WALLACE is a Clinical Medical Laboratory healthcare provider located in SEATTLE, Washington. NPI 1356968440 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · SEATTLE, WA
Registration Details
- NPI Number
- 1356968440
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2020 (6.080138493182 yrs)
- Last Updated
- Jun 24, 2025
- Licenses
-
WDL722Z7B13B (WA)PC61547365 (WA)032016 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3123 FAIRVIEW AVE E STE 200SEATTLE, WA, 981023051Browse WA providers · Browse ZIP 98102
- Phone
- 4806857530
- Fax
- 4809008853
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
- Additional Specialty
- Driver
- Additional Specialty
- Phlebotomy Technician
- Additional Specialty
- Technician, Health Information
- Additional Specialty
- Home Health
Other Clinical Medical Laboratory Providers in SEATTLE, WA
| Name | Credential | NPI |
|---|---|---|
| MR. DAVID NGOC TRAN | CEO | 1194178780 |
| DR. KIMBERLY FREELAND STARR | PH.D. | 1881128700 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.