Organization Active NPI

Ka Services Inc

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1174847727
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
38D0673412 Issued in OR
Legal business name
KA SERVICES INC
Doing business as
legacy bridgeview medical lab
Practice address
818 SW 3Rd Ave
Ste 188
Portland, OR 97204-2405
Phone
(503) 575-6916
Fax
(866) 243-0017
NPI assigned
Mar 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Shazia Hamid, M.D.NPI 1811955214
Title
President
Phone
(503) 575-6916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 38D0673412 OR Primary

Addresses

Primary practice location

818 SW 3Rd Ave
Ste 188
Portland, OR 97204-2405

Mailing address

818 SW 3Rd Ave
Ste 188
Portland, OR 97204-2405
Phone (503) 575-6916

Other names 1

  • legacy bridgeview medical lab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1174847727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE",
            "address_2": "STE 188",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-575-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE",
            "address_2": "STE 188",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-575-6916",
            "fax_number": "866-243-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "HAMID",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-575-6916",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D0673412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "legacy bridgeview medical lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.