Organization Active NPI

Advanced Toxicology,LLC

  • Clinical Medical Laboratory
  • West Linn, OR
National Provider Identifier
1407236177
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED TOXICOLOGY,LLC
Practice address
2020 8TH Ave
Suite 221
West Linn, OR 97068-4657
Phone
(541) 944-1247
Fax
(541) 482-0964
NPI assigned
Jun 8, 2015
Last updated
Aug 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Authorized official

Name
Dodie NolesNPI 1437646312
Title
Owner
Phone
(541) 944-1247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

2020 8TH Ave
Suite 221
West Linn, OR 97068-4657

Mailing address

2020 8TH Ave
Suite 221
West Linn, OR 97068-4657
Phone (541) 944-1247

National Provider Directory

National Provider Directory

Locations

2020 8th Ave
Ste 221
West Linn, OR 97068
Phone (541) 944-1247

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1407236177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE",
            "address_2": "SUITE 221",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "541-944-1247",
            "fax_number": "541-482-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 8TH AVE",
            "address_2": "SUITE 221",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684657",
            "telephone_number": "541-944-1247",
            "fax_number": "541-482-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TOXICOLOGY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "NOLES",
        "authorized_official_first_name": "DODIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-944-1247"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; 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.