Stumptown Lab Services LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

STUMPTOWN LAB SERVICES LLC

Practice address

1355 NW Everett St Ste 100
Portland, OR 97209-2655

Phone

(971) 433-5334

Fax

(971) 200-8669

NPI assigned

Oct 21, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Timothy L SeatonNPI 1952712358

Title

Managing Director

Phone

(971) 433-5334

Specialties & licenses 2

Addresses

Other names 1

• STUMPTOWN LABORATORY SERVICES Other name

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

CLIA laboratory certificates

Practitioners 2

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

• Timothy L Seaton, LAC, LMT, CPT

  • Phlebotomy Technician
  • Portland, OR
  • NPI 1952712358
  NPD Authorized official
• Michael Thomas Rexford Jr.

  • Phlebotomy Technician
  • Portland, OR
  • NPI 1437546298
  NPD

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

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1326869579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 NW EVERETT ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092655",
            "telephone_number": "971-433-5334",
            "fax_number": "971-200-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 NW EVERETT ST STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092655",
            "telephone_number": "971-433-5334",
            "fax_number": "971-200-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUMPTOWN LAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "SEATON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "971-433-5334",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STUMPTOWN LABORATORY SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Kathryn Stumpf
• Nathan Joseph Stumpf, MD
• Neal Stumpf, D.C
• Stumptown Acupuncture LLC
• Stumptown Chiropractic, LLC
• Marvin Carl Sturgeon, B. PHARM.
• Katherine Sutherland Sturges, MA, LPC, NCC
• Leanna Sturges, DNP, FNP
• Maren Kathleen Sturges
• Brian S Sturgill, MPT

• Clinical Medical Laboratory in Portland, OR
• Providers in Portland, 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 Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.