Dynacare Northwest Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DYNACARE NORTHWEST INC

Practice address

1536 N 115TH St
Ste 200
Seattle, WA 98133-8400

Phone

(206) 363-3403

NPI assigned

Apr 13, 2010

Last updated

Apr 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William B Hayes

Title

Cfo Evp Treasurer

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dynacare Northwest

  • Clinical Medical Laboratory
  • Mount Vernon, WA
  • NPI 1215072814

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Bothell, WA
  • NPI 1023324217

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1043543036

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1124351143

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1275766552

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  dba Pac Med Clinics Lynnwood

  • Clinical Medical Laboratory
  • Lynnwood, WA
  • NPI 1275798407

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1508199597

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1548493810

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1699810291

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  dba Swedish Family Medicine

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1710143557

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  dba Olympia Black Hills

  • Clinical Medical Laboratory
  • Olympia, WA
  • NPI 1811152028

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Sumner, WA
  • NPI 1992938286

  O20040217000665

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1124344361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240",
            "telephone_number": "800-222-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N 115TH ST",
            "address_2": "STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338400",
            "telephone_number": "206-363-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNACARE NORTHWEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO EVP TREASURER",
        "authorized_official_telephone_number": "800-222-7566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D1085364",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeline Ann Dyment, NP
• Dymond Healthcare
• Cassy Dymond, N.D.
• Chelsea Areck Dymond, MD
• Dynacare Northwest Inc
• Dynacare Northwest Inc
• Dynacare Northwest Inc (Pac Med Clinics Beacon Hill)
• Dynacare Northwest Inc (Pac Med Clinics Northgate)
• Dynacare Northwest Inc (Swedish Ballard)
• Dynacare Northwest Inc (SP Queen Anne)

• Clinical Medical Laboratory in Seattle, WA
• Providers in Seattle, 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 Apr 13, 2010; 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.