Labtran Clinical Laboratories, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABTRAN CLINICAL LABORATORIES, LLC

Practice address

2404 E Mill Plain Blvd Ste B
Vancouver, WA 98661-4334

Phone

(855) 522-8726

Fax

(888) 581-0336

NPI assigned

Jul 15, 2011

Reactivated

Apr 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Kevin L. Lafurge

Title

Ceo/Cfo

Phone

(360) 852-0302

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Labtran Clinical Laboratories, LLC Doing business as

Locations

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1164710893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WESTHILL DRIVE, UNIT D.",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "855-522-8726",
            "fax_number": "888-581-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 E MILL PLAIN BLVD STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986614334",
            "telephone_number": "855-522-8726",
            "fax_number": "888-581-0336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABTRAN CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2013-07-25",
        "deactivation_date": "2013-04-03",
        "reactivation_date": "2013-04-10",
        "status": "A",
        "authorized_official_last_name": "LAFURGE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/CFO",
        "authorized_official_telephone_number": "360-852-0302",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44D2028000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Labtran Clinical Laboratories, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kywina M Henderson Professional Advanced Practice Nursing Corporat
• L Katherine Moon
• Corinne Beth La Fors
• Todd Robert La Rock, D.O.
• Jaime Anne La Tona, LH61531731
• Gregory Todd Lackey, DC
• Kristie Ann Lackey, PTA
• Louellen Louise Lacombe
• Robin Lacosse, LMP
• Anna Shane Ladd, MA

• Clinical Medical Laboratory in Vancouver, WA
• Providers in Vancouver, 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 Jul 25, 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.