Active NPI
Nepenthe Laboratory Services LLC
- Clinical Medical Laboratory
- Eugene, OR
National Provider Identifier
1467890137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- NEPENTHE LABORATORY SERVICES LLC
- Practice address
- 1710 Willow Creek Circle, Ste #2
Eugene, OR 97402 - Phone
- (541) 654-8730
- NPI assigned
- Jun 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Baumgartner
- Title
- Co-Owner
- Phone
- (541) 912-0011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1710 Willow Creek Circle, Ste #2
Eugene, OR 97402
Mailing address
1710 Willow Creek Cir
Suite 1
Eugene, OR 97402-9192
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140107000133 | OR | Part B Supplier - Independent Clinical Laboratory | 0547498107 | Practice locations: Eugene, OR |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2061880 | Nepenthe Laboratory Services | Accreditation | Jun 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
1720 Willow Creek Cir
Ste 525B
Eugene, OR 97402
Phone (541) 394-4145
1710 Willow Creek Cir
Ste 2
Eugene, OR 97402
Phone (541) 654-8730
1710 Willow Creek Cir
Ste 100
Eugene, OR 97402
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Springfield, OR
- NPI 1033319124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742774400000",
"number": "1467890137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 WILLOW CREEK CIR",
"address_2": "SUITE 1",
"city": "EUGENE",
"state": "OR",
"postal_code": "974029192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 WILLOW CREEK CIRCLE, STE #2",
"city": "EUGENE",
"state": "OR",
"postal_code": "97402",
"telephone_number": "541-654-8730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEPENTHE LABORATORY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-04",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A",
"authorized_official_last_name": "BAUMGARTNER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "541-912-0011"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.