Laboratory Services Cooperative

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

50D1067112 Issued in WA

Legal business name

LABORATORY SERVICES COOPERATIVE

Practice address

723B NE Riddell Rd
Bremerton, WA 98310-3030

Phone

(360) 475-9091

Fax

(360) 373-1749

NPI assigned

Jun 16, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Debbie Hart

Title

Revenue Cycle Director

Phone

(425) 460-4552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1649407792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14730 NE 8TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980074116",
            "telephone_number": "425-460-4552",
            "fax_number": "425-653-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723B NE RIDDELL RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103030",
            "telephone_number": "360-475-9091",
            "fax_number": "360-373-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY SERVICES COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "425-460-4552",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D1067112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Marie-Helene Labarre, MPT
• Sean Labelle
• Gayle Renee Labissoniere, LMFT
• Laboratory Corporation of America
• Laboratory Corporation of America
• Matthew Lacombe II
• Bryan Michael Ladd, DPT
• Linda Lafrance
• Monica Duenas Lagdaan
• Nicholas Craig Lai

• Clinical Medical Laboratory in Bremerton, WA
• Providers in Bremerton, 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 Oct 13, 2016; 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.

Verify at the official NPI Registry.