Active NPI
Sirona DX Inc.
- Clinical Medical Laboratory
- Vancouver, WA
National Provider Identifier
1174987309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 50D2111263
- Legal business name
- SIRONA DX INC.
- Practice address
- 14401 SE 1St St
Vancouver, WA 98684-3503 - Phone
- (503) 442-3580
- NPI assigned
- Apr 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nasry Y Yassa, PH.D.
- Title
- Ceo
- Phone
- (503) 442-3580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 50D2111263 | WA | Primary |
Addresses
Primary practice location
14401 SE 1St St
Vancouver, WA 98684-3503
Mailing address
16869 65TH Ave Ste 163
Lake Oswego, OR 97035-7865
Phone (503) 430-8778
National Provider Directory
National Provider DirectoryLocations
14780 SW Osprey Dr
Ste 325
Beaverton, OR 97007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1174987309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16869 65TH AVE STE 163",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970357865",
"telephone_number": "503-430-8778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14401 SE 1ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986843503",
"telephone_number": "503-442-3580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIRONA DX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-13",
"last_updated": "2016-11-21",
"status": "A",
"authorized_official_last_name": "YASSA",
"authorized_official_first_name": "NASRY",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "503-442-3580",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "WA",
"license": "50D2111263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.