Mill Creek Medical Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MILL CREEK MEDICAL LABORATORY LLC

Practice address

3300 State St
Salem, OR 97301-5063

Phone

(503) 561-5350

NPI assigned

Jul 9, 2013

Organization subpart

No

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

Authorized official

Name

Mark Magilner, MD

Title

Authorized Official

Phone

(503) 561-5350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1275974016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SOUTHWYCK BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141509",
            "telephone_number": "800-288-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 STATE ST",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973015063",
            "telephone_number": "503-561-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CREEK MEDICAL LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "MAGILNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "503-561-5350",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Leah Miguel, FNP
• Brett W Mikeska, M D
• Rebekah Miles, BA
• Mill Creek Dental LLC
• Mill Creek Family Clinic Inc
• Dakota Millak
• Cindy Marisol Millan, FNP
• Leticia Millard
• Heidi Miller McSmith, MSW, QMHP
• Rebecca Marie Miller-Moe, PH.D.

• Clinical Medical Laboratory in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.