NPIMap

Organization Active NPI

Washington State University

  • Clinical Medical Laboratory
  • Pullman, WA
National Provider Identifier
1154949733
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WASHINGTON STATE UNIVERSITY
Practice address
Bustad Hall Room 155N
Pullman, WA 99164-0001
Phone
(509) 335-6047
Fax
(509) 335-7424
NPI assigned
Jul 9, 2020
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Timothy Baszler
Title
Executive Director
Phone
(509) 335-6047

Specialties & licenses 1

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

Addresses

Primary practice location

Bustad Hall Room 155N
Pullman, WA 99164-0001

Mailing address

PO Box 647034
Pullman, WA 99164-7034
Phone (509) 335-6047

National Provider Directory

National Provider Directory
Tax ID family
Washington State Univer6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1154949733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647034",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991647034",
            "telephone_number": "509-335-6047",
            "fax_number": "509-333-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUSTAD HALL ROOM 155N",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991640001",
            "telephone_number": "509-335-6047",
            "fax_number": "509-335-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "BASZLER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "509-335-6047"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.