New Life Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

NEW LIFE LAB SERVICES LLC

Practice address

5019 Grove St Ste 103B
Marysville, WA 98270-4487

Phone

(360) 203-3379

Fax

(360) 200-5329

NPI assigned

Jun 25, 2019

Last updated

Jun 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane Melanie Koch, MA,LMHCA,MHP

Title

Owner/Ceo

Phone

(360) 203-3379

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Melanie Valdespino, MA, LMHC

  • Mental Health Counselor
  • Marysville, WA
  • NPI 1740536457
  NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1215598727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19337",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981091337",
            "telephone_number": "360-203-3379",
            "fax_number": "360-200-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 GROVE ST STE 103B",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704487",
            "telephone_number": "360-203-3379",
            "fax_number": "360-200-5329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5019 Grove St Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982704487",
            "country_code": "US",
            "telephone_number": "360-203-3379",
            "fax_number": "360-200-5329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEW LIFE LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "360-203-3379",
        "authorized_official_credential": "MA,LMHCA,MHP"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Life Addiction and Recovery Services
• New Life Addiction and Recovery Services PLLC
• New Life Addiction and Recovery Services PLLC
• New Life Counseling Services PLLC
• New Life for Everyone PLLC
• Nicole Lynette Newcomb, LMP
• Paula Georgette Newman-Skomski, ARNP, FNP-C
• Emily Camchau DO Nguyen, O.D.
• Julian Nghia Nguyen, DDS
• Tuyen M Nguyen, MD

• Clinical Medical Laboratory in Marysville, WA
• Providers in Marysville, 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 Jun 25, 2019; 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.