Organization Active NPI

Spokane Laboratory, LLC

  • Clinical Medical Laboratory
  • Spokane, WA
National Provider Identifier
1508310020
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MD00014180 Issued in WA
Legal business name
SPOKANE LABORATORY, LLC
Practice address
611 E 2ND Ave
Suite C
Spokane, WA 99202-6010
Phone
(509) 534-0321
Fax
(509) 534-0288
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. Randall S. Riggs, M.D.NPI 1639126238
Title
Member/Manager
Phone
(509) 534-0321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MD00014180 WA Primary

Addresses

Primary practice location

611 E 2ND Ave
Suite C
Spokane, WA 99202-6010

Mailing address

611 E 2ND Ave
Suite C
Spokane, WA 99202-6010
Phone (509) 534-0321

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1508310020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E 2ND AVE",
            "address_2": "SUITE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026010",
            "telephone_number": "509-534-0321",
            "fax_number": "509-534-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E 2ND AVE",
            "address_2": "SUITE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026010",
            "telephone_number": "509-534-0321",
            "fax_number": "509-534-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "509-534-0321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MD00014180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.