Mediline Professional Services,Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MEDILINE PROFESSIONAL SERVICES,INC

Practice address

4407 N Division St Ste 417
Spokane, WA 99207-1613

Phone

(509) 389-9765

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Owen Harold Austrheim

Title

President

Phone

(509) 389-9765

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407948342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 417",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071613",
            "telephone_number": "509-389-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST STE 417",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071613",
            "telephone_number": "509-389-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDILINE PROFESSIONAL SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AUSTRHEIM",
        "authorized_official_first_name": "OWEN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-389-9765"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Oncology Associates PS
• Medical Oncology Associates, P.S.
• Medical Specialists of Spokane PLLC
• Medication Review Inc
• Medicine Naturally PLLC
• Medina Clinical Evaluations LLC
• Amber Medina
• Carol Medina, PHARMD
• Erin Rose Medina, MD
• Jennifer Medina, PMHNP-BC

• Clinical Medical Laboratory in Spokane, WA
• Providers in Spokane, 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 Aug 22, 2020; 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.