Bourget Health Services Inc

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

NPI assigned

Jul 11, 2005

Last updated

Feb 8, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kurt Rogers

Title

Cfo

Phone

(509) 755-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pathology Associates Med Laboratories Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Bourget Health Services Inc

  dba Pathology Associates Med Laboratories

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1023253374
  NPPES parent name

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William A Agan

  • Physician Assistant
  • Covington, WA
  • NPI 1134308380
  NPD (past)
• Richard O Avalon, D.O.

  • Family Medicine Physician
  • Renton, WA
  • NPI 1619930088
  NPD (past)
• Gary Beerman, PA-C/ARNP

  • Family Nurse Practitioner
  • Kirkland, WA
  • NPI 1497855308
  NPD (past)
• Paul W Boone Jr., M.D.

  • Family Medicine Physician
  • Monroe, WA
  • NPI 1952342974
  NPD (past)
• Todd S. Bouchard, MD

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1942246418
  NPD (past)
• Kristen Beth Brown, ARNP

  • Family Nurse Practitioner
  • Renton, WA
  • NPI 1750569406
  NPD (past)
• Jennifer Beth Buchan, PA-C

  • Physician Assistant
  • Belfair, WA
  • NPI 1932299880
  NPD (past)
• Travis Anthony Dalton, ARNP

  • Family Nurse Practitioner
  • Maple Valley, WA
  • NPI 1235394321
  NPD (past)
• Anirban Das, D.O.

  • Family Medicine Physician
  • Mount Vernon, WA
  • NPI 1083889190
  NPD (past)
• Russell William Faria, D.O.

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1114901113
  NPD (past)
• Sean W Garman, M.D.

  • Internal Medicine Physician
  • Spokane, WA
  • NPI 1295723690
  NPD (past)
• Elisabeth B Golden, ARNP

  • Nurse Practitioner
  • Covington, WA
  • NPI 1104048180
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1033117338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W CLIFF DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992043638",
            "telephone_number": "509-755-8600"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOURGET HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "509-755-8600"
    },
    "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"
        }
    ]
}

• Beverly Boudreau
• Diana Marie Bouge, CRNA
• Andrew J Boulet, MD
• Bruce A Bouma, M.D.
• Bourget Health Services Inc (Pathology Associates Med Laboratories)
• Kristina Bourget, CDP
• Kelsey Ann Bourn
• Katie Bourus
• Alejah Unique Bousley
• Leslee Bouttu, LMP

• Clinical Medical Laboratory in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.