Four Corners Testing LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOUR CORNERS TESTING LLC

Practice address

11625 Rainier Ave S Ste 102
Seattle, WA 98178-3983

Phone

(206) 558-9577

NPI assigned

Apr 9, 2022

Organization subpart

No

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

Authorized official

Name

Bryan Jones

Title

Owner

Phone

(206) 371-3336

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1053053165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14150 NE 20TH ST STE F1-282",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073700",
            "telephone_number": "206-371-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11625 RAINIER AVE S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981783983",
            "telephone_number": "206-558-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS TESTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-09",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-371-3336"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bronte Fougere
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• Michael G Foulks, M.D.
• James E Foulsham, PA-C
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• Four Creeks Anesthesia Services LLC
• Laurie S. Fouser, MD
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• Melanie Foust, L.M.P.
• Susan O. Fouts, LICSW

• Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.