Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Lynnwood, WA
National Provider Identifier
1609145937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 19401 40TH Ave W
Suite 230
Lynnwood, WA 98036-4612 - Phone
- (425) 744-7172
- NPI assigned
- Dec 15, 2011
- Last updated
- Jan 2, 2014
- 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
- Kimberly Williams
- Title
- VP
- Phone
- (800) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
19401 40TH Ave W
Suite 230
Lynnwood, WA 98036-4612
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50D0936416 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000184 | WA | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
This NPI is an additional NPI on the enrollment Practice locations: Tukwila, WA; Seattle, WA; Toppenish, WA; Sunnyside, WA; Spokane Valley, WA; Spokane, WA; Walla Walla, WA; Wapato, WA… |
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 |
|---|---|---|---|
| 50D0936416 | Laboratory Corporation of America | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Southwest Medical Lab
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Seattle, WA
- NPI 1457623597
-
- Clinical Medical Laboratory
- Renton, WA
- NPI 1467230458
-
- Clinical Medical Laboratory
- Yakima, WA
- NPI 1477040574
-
- Clinical Medical Laboratory
- Kennewick, WA
- NPI 1477135846
-
- Clinical Medical Laboratory
- Puyallup, WA
- NPI 1508110578
-
- Clinical Medical Laboratory
- Bremerton, WA
- NPI 1528226990
-
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1528892270
-
- Clinical Medical Laboratory
- Oak Harbor, WA
- NPI 1538468236
-
- Clinical Medical Laboratory
- Lynnwood, WA
- NPI 1548500416
-
- Clinical Medical Laboratory
- Richland, WA
- NPI 1558156604
-
- Clinical Medical Laboratory
- Federal Way, WA
- NPI 1578834362
-
- Clinical Medical Laboratory
- Grandview, WA
- NPI 1588151773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1388620800000",
"number": "1609145937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2240",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162240",
"telephone_number": "800-222-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19401 40TH AVE W",
"address_2": "SUITE 230",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364612",
"telephone_number": "425-744-7172"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-15",
"last_updated": "2014-01-02",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "800-222-7566"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "50D0936416",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
- Kwang Jin Hahn DDS, PLLC (Hahn Dental)
- Jennifer Kwok, O.D.
- Kyle Tanaka DDS PLLC (Alderwood Progressive Dentistry)
- La Esperanza Health Counseling Services
- Laboratory Corporation of America
- Laboratory Corporation of America
- Donald C Labourr, PT
- Lillian Labourr, OTR/L
- Heather Patricia Labouy, PSYD
- Marisa Lynn Lacasse, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.