Synergy Medical Systems, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

License

25801796 Issued in OR

Legal business name

SYNERGY MEDICAL SYSTEMS, LLC

Practice address

2650 Suzanne Way
Suite 130
Eugene, OR 97408-7319

Phone

(541) 343-3758

Fax

(541) 465-1165

NPI assigned

Dec 9, 2011

Organization subpart

Yes

Parent organization

SYNERGY MEDICAL SYSTEMS, LLCAs reported in NPPES

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

Authorized official

Name

Clark Goodman

Title

Ceo

Phone

(541) 343-3758

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Part of

Synergy Medical Systems LLC

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1225306889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "SUITE 130",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-343-3758",
            "fax_number": "541-465-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY",
            "address_2": "SUITE 130",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087319",
            "telephone_number": "541-343-3758",
            "fax_number": "541-465-1165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY MEDICAL SYSTEMS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SYNERGY MEDICAL SYSTEMS, LLC",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "CLARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-343-3758"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "OR",
            "license": "25801796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Swift
• Danielle Swintkowski, CSFA
• Olyvia Swisher
• Synergy Medical Systems LLC
• Synergy Medical Systems, LLC
• Synergy Medical Systems, LLC
• Synergy Therapeutics LLC
• Joseph Synowiec
• Kelley Renee Syphers, F.R.A.
• Teresa Sue Syrios, QMHA

• Physiological Laboratory in Eugene, OR
• Providers in Eugene, OR by specialty
• Physiological Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.