Organization Active NPI

Allele Diagnostics Inc.

  • Clinical Medical Laboratory
  • Spokane, WA
National Provider Identifier
1194110734
Registry record updated Aug 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
50D2086351 Issued in WA
Legal business name
ALLELE DIAGNOSTICS INC.
Practice address
120 N Pine St Ste 152
Suite 202
Spokane, WA 99202-5030
Phone
(844) 255-3532
Fax
(509) 232-5779
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2017

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

Authorized official

Name
Mr. Marcelo Morales
Title
Ceo
Phone
(844) 255-3532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 50D2086351 WA Primary

Addresses

Primary practice location

120 N Pine St Ste 152
Suite 202
Spokane, WA 99202-5030

Mailing address

120 N Pine St Ste 152
Suite 202
Spokane, WA 99202-5030
Phone (844) 255-3532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170728000897 WA Part B Supplier - Independent Clinical Laboratory 2062782733 Practice locations: Spokane, WA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2086351Allele Diagnostics, Inc120 N Pine St, Ste 152, Spokane, WA 99202AccreditationApr 4, 2028

National Provider Directory

National Provider Directory

Locations

120 N Pine St
Ste 152
Spokane, WA 99202
Phone (844) 255-3532

NPI Registry JSON

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503964800000",
    "number": "1194110734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N PINE ST STE 152",
            "address_2": "SUITE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025030",
            "telephone_number": "844-255-3532",
            "fax_number": "509-232-5779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N PINE ST STE 152",
            "address_2": "SUITE 202",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025030",
            "telephone_number": "844-255-3532",
            "fax_number": "509-232-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLELE DIAGNOSTICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2017-08-29",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-255-3532",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D2086351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.