Pakc-DSL Inc PS

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

Legal business name

PAKC-DSL INC PS

Practice address

550 17TH Ave., Ste. 300
Seattle, WA 98122

Phone

(360) 447-5630

Fax

(360) 447-5669

NPI assigned

Mar 11, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Duffy

Title

General Manager

Phone

(360) 447-5635

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1104167550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2171",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-447-5630",
            "fax_number": "360-447-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE., STE. 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98122",
            "telephone_number": "360-447-5630",
            "fax_number": "360-447-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAKC-DSL INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "360-447-5635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021619",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Eumin Pak, BA
• Angel Pak, PHARMACY TECHNICIAN
• Glen Pak
• Grace H. Pak, PHARM.D
• Kaity C Pak, ARNP
• Mohammadreza Pakyari, M.D., PH.D.
• Kaivon Pakzad-Vaezi, MD
• Khusboo Vipulkumar Pal, MD
• Kaylee Michelle Palachuk, NP
• Melanie Valeria Palacios

• Anatomic Pathology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Anatomic Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.