Organization Active NPI

Lifespan Biosciences

  • Specialist
  • Seattle, WA
National Provider Identifier
1053865006
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00023312 Issued in WA
Legal business name
LIFESPAN BIOSCIENCES
Practice address
2401 4TH Ave
Suite 900
Seattle, WA 98121-3419
Phone
(206) 464-1554
Fax
(206) 464-1723
NPI assigned
Aug 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Authorized official

Name
Dr. Glenna C Burmer, M.D.
Title
Chief Scientific Officer
Phone
(206) 464-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD00023312 WA Primary

Addresses

Primary practice location

2401 4TH Ave
Suite 900
Seattle, WA 98121-3419

Mailing address

2401 4TH Ave
Suite 900
Seattle, WA 98121-3419
Phone (206) 464-1554

National Provider Directory

National Provider Directory

Locations

2401 4th Ave
Ste 900
Seattle, WA 98121
Phone (206) 464-1554

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470614400000",
    "number": "1053865006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 4TH AVE",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981213419",
            "telephone_number": "206-464-1554",
            "fax_number": "206-464-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 4TH AVE",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981213419",
            "telephone_number": "206-464-1554",
            "fax_number": "206-464-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN BIOSCIENCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A",
        "authorized_official_last_name": "BURMER",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF SCIENTIFIC OFFICER",
        "authorized_official_telephone_number": "206-464-1554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00023312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.