Molecular Epidemiology Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MTS-5201 Issued in WA

Legal business name

MOLECULAR EPIDEMIOLOGY INC

Practice address

15300 Bothell Way NE
Lake Forest Park, WA 98155-7634

Phone

(206) 306-8882

Fax

(206) 306-8883

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Dalia Alfi

Title

Vice President

Phone

(206) 306-8882

Specialties & licenses 1

Addresses

Other names 1

• Diagnostics Reference Laboratory Doing business as

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1124295654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981557634",
            "telephone_number": "206-306-8882",
            "fax_number": "206-306-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15300 BOTHELL WAY NE",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981557634",
            "telephone_number": "206-306-8882",
            "fax_number": "206-306-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLECULAR EPIDEMIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "ALFI",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "206-306-8882",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS-5201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostics Reference Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Renee Lusk-Fauquet, ARNP
• Cristina Nadine Maldonado, MSW
• Kieran Joseph McManimon, LMP
• Bent M Meyer, MA, LMHC
• Karen Lynne Miller, MD
• Amanda Francisca Napitupulu, LMHC
• Thomas Ndamele, PHARM.D.
• Abigail Nelson, LMHCA
• Leslie S Newton, MD
• Amoy A NG, MD

• Clinical Medical Laboratory in Lake Forest Park, WA
• Providers in Lake Forest Park, 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 May 14, 2008; 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.