Tri-Cities Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

TRI-CITIES LABORATORY, LLC

Practice address

7350 W Deschutes Ave Ste B125
Kennewick, WA 99336-7802

Phone

(509) 783-8031

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Kimberly T Williams

Title

Vice President

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1104308063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W DESCHUTES AVE STE B125",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367802",
            "telephone_number": "509-783-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D0913315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Primary Care
• Tri-Cities Regenerative Institute
• Tri-Cities Vision Center
• Tri-City Derm Management Inc.

• Clinical Medical Laboratory in Kennewick, WA
• Providers in Kennewick, 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 Sep 6, 2018; 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.