Provider Demographics
NPI:1447537378
Name:RICHIN LIFE CODE LAB LLC
Entity type:Organization
Organization Name:RICHIN LIFE CODE LAB LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JYH-MEI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU-SWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:425-673-4163
Mailing Address - Street 1:19720 68TH AVE W
Mailing Address - Street 2:SUITE B
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4568
Mailing Address - Country:US
Mailing Address - Phone:425-673-4161
Mailing Address - Fax:425-673-4164
Practice Address - Street 1:19720 68TH AVE W
Practice Address - Street 2:SUITE B
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4568
Practice Address - Country:US
Practice Address - Phone:425-673-4161
Practice Address - Fax:425-673-4164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-06
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC60126349171100000X
WANT 60178507175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty