NPIMap

Organization Active NPI

Bourget Health Services Inc

  • Clinical Medical Laboratory
  • Spokane, WA
National Provider Identifier
1023253374
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MTS-0416 Issued in WA
Legal business name
BOURGET HEALTH SERVICES INC
Doing business as
Pathology Associates Med Laboratories
Practice address
110 W Cliff Dr
Spokane, WA 99204-3638
Phone
(509) 755-8600
Fax
(509) 755-8319
NPI assigned
Dec 15, 2008
Organization subpart
Yes
Parent organization
BOURGET HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kurt Rogers
Title
CFP
Phone
(509) 755-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MTS-0416 WA Primary

Addresses

Primary practice location

110 W Cliff Dr
Spokane, WA 99204-3638

Mailing address

PO Box 2687
Spokane, WA 99220-2687
Phone (509) 755-8600

Other identifiers 1

IdentifierTypeStateIssuer
7010937MedicaidWA

Other names 1

  • Pathology Associates Med Laboratories Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pathology Assoc Med Lab3 organizations share this tax ID, including this one
Part of
Pathology Assoc Med Lab

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1023253374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2687",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202687",
            "telephone_number": "509-755-8600",
            "fax_number": "509-755-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CLIFF DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043638",
            "telephone_number": "509-755-8600",
            "fax_number": "509-755-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURGET HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOURGET HEALTH SERVICES INC",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CFP",
        "authorized_official_telephone_number": "509-755-8903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS-0416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7010937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathology Associates Med Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.