Dynacare Northwest Inc
Organization Active NPI Clinical Medical Laboratory · Bellevue, WA
NPI 1275766552 · NPPES record last updated Dec 23, 2013
Key facts
- NPI
- 1275766552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- DYNACARE NORTHWEST INC
- Practice address
- 2700 Northup Way
Bellevue, WA 98004-1463 - Phone
- (425) 828-2258
- NPI assigned
- Sep 2, 2009
- Organization subpart
- No
Authorized official
- Name
- Kimberly Williams
- Title
- VP
- Phone
- (800) 222-7566
Other NPIs on the same Medicare enrollment 27
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000665 | WA | Part B Supplier - Independent Clinical Laboratory | 5597650788 |
28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Issaquah, WA; Redmond, WA; Seattle, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
2700 Northup Way
Bellevue, WA 98004-1463
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50D0961871 | Other | CLIA |
Other providers in Bellevue, WA
- Shane Oniel Durrant
- Alan Duryea
- Natalia Allison Dvorak
- DW Han PLLC
- Gabriella Maria Amadea Dwidjaya
- Dynacare Northwest Inc
- Dynacare Northwest, Inc
- Dynacare NW
- Dynamo Clinic PLLC
- E Tabaraie DDS PLLC
All providers in Bellevue, WA · Clinical Medical Laboratory in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 23, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.