Columbia Diagnostic Lab, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

50D2131654 Issued in WA

Legal business name

COLUMBIA DIAGNOSTIC LAB, INC.

Practice address

507 S Washington St Ste 101
Spokane, WA 99204-2604

Phone

(509) 420-6386

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Richard C Barry, PHD

Title

Owner and Laboratory Director

Phone

(509) 420-6386

Specialties & licenses 1

Addresses

Other names 1

• Columbia Dx Lab, Inc. Other name

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1053841817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85103 N YAKIMA RIVER DR",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993536189",
            "telephone_number": "509-420-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S WASHINGTON ST STE 101",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042604",
            "telephone_number": "509-420-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DIAGNOSTIC LAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER AND LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "509-420-6386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D2131654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Dx Lab, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Colorful Minds Collective PLLC
• James C.S. Colquhoun, MD
• Angela June Colston
• Shana Colt
• Mariah Grace Coluccio, LMHCA
• Columbia Medical Associates
• Columbia Medical Associates LLC
• Columbia Medical Associates, LLC
• Columbia Pelvic Health, PLLC
• Columbia Surgery Center LLC

• 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 Jun 14, 2017; 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.