Cellnetix Labs, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

50D2089098 Issued in WA

Legal business name

CELLNETIX LABS, LLC

Practice address

413 Lilly Rd NE # Ddh06
Olympia, WA 98506-5133

Phone

(206) 576-6500

NPI assigned

Jul 25, 2018

Last updated

Jul 25, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

CELLNETIX LABS, LLCAs reported in NPPES

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

Authorized official

Name

Byron Kaerstner

Title

VP Revenue Cycle Management

Phone

(206) 576-6500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cellnetix Labs LLC

  • Clinical Medical Laboratory
  • Everett, WA
  • NPI 1063481570

  O20051116000963

  Same enrollment
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Tukwila, WA
  • NPI 1407060411

  O20051116000963

  Same enrollment
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1477828838

  O20051116000963

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Cellnetix Labs LLC6 organizations share this tax ID, including this one

Part of

Cellnetix Labs LLC

Other organizations with this tax ID 5

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

• Cellnetix Labs LLC

  • Clinical Medical Laboratory
  • Everett, WA
  • NPI 1063481570
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Tukwila, WA
  • NPI 1407060411
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Spokane, WA
  • NPI 1477828838
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Tucson, AZ
  • NPI 1407715113
  NPD tax ID
• Cellnetix Labs, LLC

  • Clinical Medical Laboratory
  • Palmer, AK
  • NPI 1538422639
  NPD tax ID

Member of 1

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

• Cellnetix Pathology, PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Seattle, WA
  • NPI 1972563385

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1326525023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 COLUMBIA ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042048",
            "telephone_number": "206-576-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LILLY RD NE # DDH06",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065133",
            "telephone_number": "206-576-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLNETIX LABS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CELLNETIX LABS, LLC",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "KAERSTNER",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "VP REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "206-576-6500"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D2089098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Elizabeth Caviedes Guillen
• Tyrone Alexander Cawston, AAC
• Rhian Lynne Cearns
• Noah Ceazan, M.D.
• Stephanie Cederholm, LMP
• Kara Lynn Cereghino, LMP
• Adis Ceric
• Danielle Cermak, SLP-CCC
• Katie Scarlett Alexandra Cespedes, LMHC
• Alexander Victor Chaban, DO

• Clinical Medical Laboratory in Olympia, WA
• Providers in Olympia, 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 Jul 25, 2018; 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.