Organization Active NPI

Incyte Pathology, LLC

Doing business as InCyte Pathology

  • Anatomic Pathology & Clinical Pathology Physician
  • Spokane Valley, WA
National Provider Identifier
1326086745
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MTS0435 Issued in WA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003149800MedicaidID
7811805MedicaidWA

Other names 2

  • InCyte Pathology Doing business as
  • Incyte Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID, OR, MT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
13D2032624Incyte Pathology700 S Main St, Moscow, ID 83843ComplianceNov 15, 2026
27D2333809Incyte Pathology - St Patrick Branch500 W Broadway St, Missoula, MT 59802RegistrationNov 11, 2027
38D0910144Incyte Pathology-Good Shepherd Branch610 NW 11TH Street, Hermiston, OR 97838ComplianceSep 30, 2027
50D0723989Incyte Pathology Pullman Regional Hospital Branch825 SE Bishop Blvd Ste 130, Pullman, WA 99163ComplianceApr 4, 2028
50D0864909Incyte Pathology - Overlake Branch1035 116TH Ave NE, Bellevue, WA 98004ComplianceApr 4, 2028
50D2010547Incyte Pathology Kadlec Regional Medical888 Swift Blvd, Richland, WA 99352ComplianceApr 4, 2028
50D2010549Incyte Pathology - Holy Family Hospital Branch5633 N Lidgerwood St, Spokane, WA 99208ComplianceApr 4, 2028
50D2032508Incyte Pathology - St Mary Medical Center Branch401 W Poplar St, Walla Walla, WA 99362ComplianceApr 4, 2028
50D2154153Incyte Pathology - Southgate Branch1025 S 2ND Ave, Walla Walla, WA 99362ComplianceApr 4, 2028
50D2163503Incyte Pathology3315 S 23Rd St Ste 108, Tacoma, WA 98405ComplianceApr 4, 2028
50D2176641Incyte Pathology - Inland Imaging Branch5715 N Lidgerwood St, Spokane, WA 99208ComplianceApr 4, 2028
50D2279123Incyte Pathology Herreid Bellevue Branch4754 146TH PL SE, Bellevue, WA 98006ComplianceApr 4, 2028
50D2337475Incyte Pathology - Auburn Medical Center Branch202 N Division St. - Incyte Suite, Auburn, WA 98001ComplianceApr 4, 2028
50D2337480Incyte Pathology - Good Samaritan Hospital Branch401 15TH Ave SE, Puyallup, WA 98372ComplianceApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Incyte Diagnostics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

View all 419

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",
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            "postal_code": "992162552",
            "telephone_number": "509-753-7222",
            "fax_number": "509-342-2743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Poplar St",
            "address_purpose": "LOCATION",
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            "postal_code": "993622846",
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            "telephone_number": "509-753-7222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "723 Memorial St",
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            "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",
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            "country_name": "United States",
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        },
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
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            "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",
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            "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.

Verify at the official NPI Registry.