Organization Active NPI

Soft Cell L-Form Laboratories LLC

  • Clinical Medical Laboratory
  • Hillsboro, OR
National Provider Identifier
1275161671
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SOFT CELL L-FORM LABORATORIES LLC
Practice address
1915 NE Stucki Ave Ste 100
Hillsboro, OR 97006-6951
Phone
(503) 402-2505
Fax
(435) 990-7242
NPI assigned
Mar 31, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Authorized official

Name
Roel Chavez
Title
Owner
Phone
(435) 525-1721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1915 NE Stucki Ave Ste 100
Hillsboro, OR 97006-6951

Mailing address

1915 NE Stucki Ave Ste 100
Hillsboro, OR 97006-6951
Phone (503) 402-2505

Other names 1

  • Soft Cell Labs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200511001266 UT Part B Supplier - Independent Clinical Laboratory 5294166146 Practice locations: St George, UT

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
46D2181769Softcell L-Form Laboratories LLC1915 NE Stucki Ave, Suite 100, Hillsboro, OR 97006ComplianceFeb 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Soft Cell L-Form Laboratories LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

453 S 600 E
Rm 154
St George, UT 84770
Phone (435) 628-2215

NPI Registry JSON

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1275161671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "503-402-2505",
            "fax_number": "435-990-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 NE STUCKI AVE STE 100",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066951",
            "telephone_number": "503-402-2505",
            "fax_number": "435-990-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFT CELL L-FORM LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ROEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "435-525-1721"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soft Cell Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.