Memorial Physicians, PLLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

50D1062355 Issued in WA

Legal business name

MEMORIAL PHYSICIANS, PLLC

Doing business as

Memorial Physicians Laboratory

Practice address

504 N 40TH Ave
Yakima, WA 98908-4311

Phone

(509) 248-3263

Fax

(509) 225-2702

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Reed

Title

Chief Operating Officer

Phone

(509) 248-7849

Specialties & licenses 1

Addresses

Other names 1

• Memorial Physicians Laboratory Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy L Melhorn, MD

  • Internal Medicine Physician
  • Yakima, WA
  • NPI 1801817713
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1275713778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SUMMITVIEW AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989022715",
            "telephone_number": "509-249-5066",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989084311",
            "telephone_number": "509-248-3263",
            "fax_number": "509-225-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D1062355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Physicians Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC
• Memorial Physicians, PLLC

• Clinical Medical Laboratory in Yakima, WA
• Providers in Yakima, 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 Sep 3, 2014; 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.