Organization Active NPI

Eg Biomed US Inc

  • Clinical Medical Laboratory
  • Bothell, WA
National Provider Identifier
1053103234
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
EG BIOMED US INC
Practice address
21720 23Rd Dr SE Ste 275
Bothell, WA 98021-3912
Phone
(206) 888-0858
NPI assigned
May 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Ruo-Kai Lin, PHD
Title
Chief of R & D
Phone
(206) 888-0858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

21720 23Rd Dr SE Ste 275
Bothell, WA 98021-3912

Mailing address

21720 23Rd Dr SE Ste 275
Bothell, WA 98021-3912
Phone (206) 888-0858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250730001176 WA Part B Supplier - Independent Clinical Laboratory 1557878956 Practice locations: Bothell, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2316600Eg Biomed US Inc21720 23Rd Dr SE Ste 275, Bothell, WA 98021AccreditationApr 4, 2028

National Provider Directory

National Provider Directory

Locations

21720 23rd Dr SE
Ste 275
Bothell, WA 98021
Phone (206) 888-0858

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1053103234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21720 23RD DR SE STE 275",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980213912",
            "telephone_number": "206-888-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21720 23RD DR SE STE 275",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980213912",
            "telephone_number": "206-888-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EG BIOMED US INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "RUO-KAI",
        "authorized_official_title_or_position": "CHIEF OF R & D",
        "authorized_official_telephone_number": "206-888-0858",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.