Medical Laboratory Associates

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MTS 0405 Issued in WA

Legal business name

MEDICAL LABORATORY ASSOCIATES

Practice address

19505 52ND Ave W
Suite a
Lynnwood, WA 98036-5409

Phone

(206) 623-3814

Fax

(206) 623-4327

NPI assigned

Jan 17, 2007

Organization subpart

Yes

Parent organization

INTERPATH LABORATORY INCAs reported in NPPES

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

Authorized official

Name

Mr. Thomas M Kennedy

Title

President

Phone

(541) 278-4735

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Interpath Laboratory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Interpath Laboratory, Inc.

  • Clinical Medical Laboratory
  • Pendleton, OR
  • NPI 1548208440

  Member Of

  NPD member

Locations

Practitioners 2

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

• Reginald Wendell Wilson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lynnwood, WA
  • NPI 1477517563
  NPD (past)
• Mujun Yu, M.D., PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Seattle, WA
  • NPI 1720032691
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1295887610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19505 52ND AVE W",
            "address_2": "SUITE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365409",
            "telephone_number": "206-623-3814",
            "fax_number": "206-623-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19505 52ND AVE W",
            "address_2": "SUITE A",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365409",
            "telephone_number": "206-623-3814",
            "fax_number": "206-623-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL LABORATORY ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERPATH LABORATORY INC",
        "enumeration_date": "2007-01-17",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-278-4735",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS 0405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7814809",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie McWethy, LMFT-S, CMHS, EMMHS
• MD Covid Care PLLC
• Jennifer Ann Meader, DMD
• Kailyn Meats
• Medella Northwest
• Megha Sheth PLLC
• Hannah Elizabeth Fletcher Meier, MA, CCC-SLP
• Melanie Kuoch Counseling PLLC
• Dawn Melin
• Amber Melland Wilson, ARNP

• Clinical Medical Laboratory in Lynnwood, WA
• Providers in Lynnwood, 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 Nov 2, 2016; 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.