Active NPI
Incyte Pathology, LLC
Doing business as InCyte Pathology
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MTS0435
- Legal business name
- INCYTE PATHOLOGY, LLC
- Doing business as
- InCyte Pathology
Incyte Diagnostics - Practice address
- 15912 E Marietta Ave
Spokane Valley, WA 99216-2552 - Phone
- (509) 753-7222
- Fax
- (509) 342-2743
- NPI assigned
- Jun 4, 2006
- Last updated
- Oct 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cory Moss
- Title
- Coo
- Phone
- (509) 868-9951
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | MTS0435 | WA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MTS0435 | WA | Primary |
Addresses
Primary practice location
15912 E Marietta Ave
Spokane Valley, WA 99216-2552
Mailing address
PO Box 3405
Spokane, WA 99220-3405
Phone (509) 753-7222
Other practice location 1
401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 753-7222
Other practice location 2
723 Memorial St
Prosser, WA 99350-1524
Phone (509) 753-7222
Other practice location 3
750 N Syringa St Ste 101
Post Falls, ID 83854-5275
Phone (509) 753-7222
Other practice location 4
939 Caroline St
Port Angeles, WA 98362-3909
Phone (509) 753-7222
Other practice location 5
520 N 4th Ave
Pasco, WA 99301-5257
Phone (509) 753-7222
Other practice location 6
1035 116th Ave NE
Bellevue, WA 98004-4604
Phone (509) 753-7222
Other practice location 7
4754 146th Pl SE
Bellevue, WA 98006-3116
Phone (509) 753-7222
Other practice location 8
3315 S 23rd St Ste 108
Tacoma, WA 98405-1615
Phone (509) 753-7222
Other practice location 9
5715 N Lidgerwood St
Spokane, WA 99208-1225
Phone (509) 753-7222
Other practice location 10
700 Sunset Dr Ste D
LA Grande, OR 97850-1260
Phone (509) 753-7222
Other practice location 11
202 N Division St
Auburn, WA 98001-4939
Phone (509) 753-7222
Other practice location 12
401 15th Ave SE
Puyallup, WA 98372-3715
Phone (509) 753-7222
Other practice location 13
221 Wellsian Way
Richland, WA 99352-4114
Phone (509) 753-7222
Other practice location 14
2811 S 102nd St Ste 170
Tukwila, WA 98168-1870
Phone (509) 753-7222
Other practice location 15
700 S Main St
Moscow, ID 83843-3056
Phone (509) 753-7222
Other practice location 16
610 NW 11th St
Hermiston, OR 97838-6601
Phone (509) 753-7222
Other practice location 17
400 S 43rd St
Renton, WA 98055-5714
Phone (509) 753-7222
Other practice location 18
2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 753-7222
Other practice location 19
3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 753-7222
Other practice location 20
825 SE Bishop Blvd Ste 101
Pullman, WA 99163-6069
Phone (509) 753-7222
Other practice location 21
3001 St Anthony Way
Pendleton, OR 97801-3836
Phone (509) 753-7222
Other practice location 22
825 SE Bishop Blvd
Pullman, WA 99163-6075
Phone (509) 753-7222
Other practice location 23
13103 E Mansfield Ave
Spokane Valley, WA 99216-1642
Phone (509) 753-7222
Other practice location 24
500 W Broadway St
Missoula, MT 59802-4008
Phone (509) 753-7222
Other practice location 25
1025 S 2nd Ave
Walla Walla, WA 99362-4116
Phone (509) 753-7222
Other practice location 26
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (509) 753-7222
Other practice location 27
5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 753-7222
Other practice location 28
101 W 8th Ave
Spokane, WA 99204-2307
Phone (509) 753-7222
Other practice location 29
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 753-7222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003149800 | Medicaid | ID | |
| 7811805 | Medicaid | WA |
Other names 2
- InCyte Pathology
- Incyte Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID, OR, MT
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000085 | WA | Part B Supplier - Clinic/Group Practice | 9638067945 |
Receives reassigned benefits from 48 practitioners Practice locations: Bellevue, WA; Tukwila, WA; Spokane Valley, WA; Richland, WA |
| O20041019001079 | ID | Part B Supplier - Clinic/Group Practice | 9638067945 |
Receives reassigned benefits from 43 practitioners Practice locations: Coeur D Alene, ID |
| O20180118001298 | OR | Part B Supplier - Clinic/Group Practice | 9638067945 |
Receives reassigned benefits from 19 practitioners 1 other NPI on this enrollment Practice locations: Pendleton, OR |
| O20240923002480 | MT | Part B Supplier - Clinic/Group Practice | 9638067945 |
Receives reassigned benefits from 23 practitioners Practice locations: Missoula, MT |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Incyte Diagnostics
- Clinical Medical Laboratory
- Spokane Valley, WA
- NPI 1316251358
O20180118001298
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 13D2032624 | Incyte Pathology | Compliance | Nov 15, 2026 |
| 27D2333809 | Incyte Pathology - St Patrick Branch | Registration | Nov 11, 2027 |
| 38D0910144 | Incyte Pathology-Good Shepherd Branch | Compliance | Sep 30, 2027 |
| 50D0723989 | Incyte Pathology Pullman Regional Hospital Branch | Compliance | Apr 4, 2028 |
| 50D0864909 | Incyte Pathology - Overlake Branch | Compliance | Apr 4, 2028 |
| 50D2010547 | Incyte Pathology Kadlec Regional Medical | Compliance | Apr 4, 2028 |
| 50D2010549 | Incyte Pathology - Holy Family Hospital Branch | Compliance | Apr 4, 2028 |
| 50D2032508 | Incyte Pathology - St Mary Medical Center Branch | Compliance | Apr 4, 2028 |
| 50D2154153 | Incyte Pathology - Southgate Branch | Compliance | Apr 4, 2028 |
| 50D2163503 | Incyte Pathology | Compliance | Apr 4, 2028 |
| 50D2176641 | Incyte Pathology - Inland Imaging Branch | Compliance | Apr 4, 2028 |
| 50D2279123 | Incyte Pathology Herreid Bellevue Branch | Compliance | Apr 4, 2028 |
| 50D2337475 | Incyte Pathology - Auburn Medical Center Branch | Compliance | Apr 4, 2028 |
| 50D2337480 | Incyte Pathology - Good Samaritan Hospital Branch | Compliance | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Incyte Diagnostics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Spokane Valley, WA
- NPI 1952651184
Locations
750 N Syringa St
Ste 107
Post Falls, ID 83854
3001 St Anthony Way
Ste 107
Pendleton, OR 97801
Phone (541) 278-4755
1280 116th Ave NE
Bellevue, WA 98004
1280 116th Ave NE
Ste 210
Bellevue, WA 98004
Phone (425) 646-0922
15912 E Marietta Ave
Ste 200
Spokane Valley, WA 99216
12501 E Marginal Way S
Ste 130
Tukwila, WA 98168
Phone (425) 646-0922
320 W Willow St
Ste 5
Walla Walla, WA 99362
Practitioners & affiliated clinicians
Practitioners 419
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1770547929
ID, OR
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1558416826
ID, MT, OR
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane, WA
- NPI 1578503900
ID, OR
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1649409723
ID
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1346694247
ID, MT
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1679534432
ID, MT
-
- Anatomic Pathology Physician
- Spokane Valley, WA
- NPI 1437684230
Anatomic Pathology & Clinical Pathology, ID
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1649731340
ID, MT, OR
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1528478047
ID, MT, OR
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1245673151
ID
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1285019612
ID, MT, OR
-
- Anatomic Pathology & Clinical Pathology Physician
- Spokane Valley, WA
- NPI 1225103625
ID, MT, OR
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792108800000",
"number": "1326086745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3405",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992203405",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15912 E MARIETTA AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162552",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743"
}
],
"practiceLocations": [
{
"address_1": "401 W Poplar St",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993622846",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "723 Memorial St",
"address_purpose": "LOCATION",
"city": "Prosser",
"state": "WA",
"postal_code": "993501524",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 N Syringa St Ste 101",
"address_purpose": "LOCATION",
"city": "Post Falls",
"state": "ID",
"postal_code": "838545275",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "939 Caroline St",
"address_purpose": "LOCATION",
"city": "Port Angeles",
"state": "WA",
"postal_code": "983623909",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "520 N 4th Ave",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993015257",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 116th Ave NE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980044604",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4754 146th Pl SE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980063116",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3315 S 23rd St Ste 108",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984051615",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5715 N Lidgerwood St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992081225",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Sunset Dr Ste D",
"address_purpose": "LOCATION",
"city": "LA Grande",
"state": "OR",
"postal_code": "978501260",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 N Division St",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "WA",
"postal_code": "980014939",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "401 15th Ave SE",
"address_purpose": "LOCATION",
"city": "Puyallup",
"state": "WA",
"postal_code": "983723715",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "221 Wellsian Way",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993524114",
"country_code": "US",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2811 S 102nd St Ste 170",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981681870",
"country_code": "US",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Main St",
"address_purpose": "LOCATION",
"city": "Moscow",
"state": "ID",
"postal_code": "838433056",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 NW 11th St",
"address_purpose": "LOCATION",
"city": "Hermiston",
"state": "OR",
"postal_code": "978386601",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2811 Tieton Dr",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989023761",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3810 Plaza Way",
"address_purpose": "LOCATION",
"city": "Kennewick",
"state": "WA",
"postal_code": "993382722",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 SE Bishop Blvd Ste 101",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991636069",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3001 St Anthony Way",
"address_purpose": "LOCATION",
"city": "Pendleton",
"state": "OR",
"postal_code": "978013836",
"country_code": "US",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 SE Bishop Blvd",
"address_purpose": "LOCATION",
"city": "Pullman",
"state": "WA",
"postal_code": "991636075",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13103 E Mansfield Ave",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992161642",
"country_code": "US",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Broadway St",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "598024008",
"country_code": "US",
"telephone_number": "509-753-7222",
"fax_number": "509-342-2743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 S 2nd Ave",
"address_purpose": "LOCATION",
"city": "Walla Walla",
"state": "WA",
"postal_code": "993624116",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2003 Kootenai Health Way",
"address_purpose": "LOCATION",
"city": "Coeur D Alene",
"state": "ID",
"postal_code": "838146051",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5633 N Lidgerwood St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992081224",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 W 8th Ave",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042307",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Swift Blvd",
"address_purpose": "LOCATION",
"city": "Richland",
"state": "WA",
"postal_code": "993523514",
"country_code": "US",
"telephone_number": "509-753-7222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INCYTE PATHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2026-10-16",
"certification_date": "2026-10-16",
"status": "A",
"authorized_official_last_name": "MOSS",
"authorized_official_first_name": "CORY",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "509-868-9951"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "WA",
"license": "MTS0435",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MTS0435",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003149800",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7811805",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "InCyte Pathology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Incyte Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.