NPIMap

Organization Active NPI

University Professional Services

Doing business as OHSU Knight Diagnostic Laboratories

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1518253996
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
38D0881787 Issued in OR
Legal business name
UNIVERSITY PROFESSIONAL SERVICES
Doing business as
OHSU Knight Diagnostic Laboratories
Practice address
2525 SW 3Rd Ave
Suite 350
Portland, OR 97201-4901
Phone
(503) 494-5400
Fax
(503) 494-6922
NPI assigned
Jun 23, 2011
Last updated
Sep 20, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

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

Authorized official

Name
Mr. Mitch Wasden
Title
Executive Vice President
Phone
(503) 494-1471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 38D0881787 OR Primary

Addresses

Primary practice location

2525 SW 3Rd Ave
Suite 350
Portland, OR 97201-4901

Mailing address

3181 SW Sam Jackson Park Rd
Mailcode: CR9-6 Attn: Knight Diag Labs
Portland, OR 97239-3011
Phone (503) 494-8744

Other names 1

  • OHSU Knight Diagnostic Laboratories Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
38D0881787Ohsu Knight Diagnostic Laboratories2525 SW 3Rd Avenue, Portland, OR 97201AccreditationDec 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
University Professional Services18 organizations share this tax ID, including this one
Part of
Oregon Health Sciences

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1518253996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAILCODE: CR9-6 ATTN: KNIGHT DIAG LABS",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 SW 3RD AVE",
            "address_2": "SUITE 350",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972014901",
            "telephone_number": "503-494-5400",
            "fax_number": "503-494-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PROFESSIONAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "enumeration_date": "2011-06-23",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "WASDEN",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "503-494-1471",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D0881787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU Knight Diagnostic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.