Organization Active NPI

Berries Health

Doing business as Berries Health and Genetics laboratory

  • Clinical Medical Laboratory
  • Kirkland, WA
National Provider Identifier
1073293205
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BERRIES HEALTH
Doing business as
Berries Health and Genetics laboratory
Practice address
204 Central Way Ste D
Kirkland, WA 98033-6170
Phone
(425) 215-5469
NPI assigned
Jul 21, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Seyed Hosseini
Title
Owner
Phone
(425) 215-5469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

204 Central Way Ste D
Kirkland, WA 98033-6170

Mailing address

204 Central Way Ste D
Kirkland, WA 98033-6170
Phone (425) 215-5469

Other names 1

  • Berries Health and Genetics laboratory Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231208000225 WA Part B Supplier - Independent Clinical Laboratory 4688023229 Practice locations: Kirkland, 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
50D2287930Berries Health and Genetics Laboratory204 Central Way Ste D, Kirkland, WA 98033ComplianceApr 4, 2028

National Provider Directory

National Provider Directory

Locations

204 Central Way
Ste D
Kirkland, WA 98033
Phone (425) 215-5469

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1073293205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 CENTRAL WAY STE D",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336170",
            "telephone_number": "425-215-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CENTRAL WAY STE D",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336170",
            "telephone_number": "425-215-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRIES HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "HOSSEINI",
        "authorized_official_first_name": "SEYED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-215-5469"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berries Health and Genetics laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.