Organization Active NPI

Robert N Edwards Jr MD

  • Clinical Medical Laboratory
  • Klamath Falls, OR
National Provider Identifier
1659338317
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
366 Issued in OR
Legal business name
ROBERT N EDWARDS JR MD
Doing business as
Pyramid Cremations & Linkville Medical Laboratories
Practice address
4509 S 6TH St
Ste. 311
Klamath Falls, OR 97603-4880
Phone
(541) 882-2426
Fax
(541) 882-2362
NPI assigned
Apr 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Robert Norfleet Edwards, M.D.
Title
Owner
Phone
(541) 882-2426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 366 OR Primary

Addresses

Primary practice location

4509 S 6TH St
Ste. 311
Klamath Falls, OR 97603-4880

Mailing address

4509 S 6TH St
Ste. 311
Klamath Falls, OR 97603-4880
Phone (541) 882-2426

Other identifiers 3

IdentifierTypeStateIssuer
055294000OtherORBLUE CROSS PROVIDER ID
38D0859086OtherORCLIA
116645MedicaidOR

Other names 1

  • Pyramid Cremations & Linkville Medical Laboratories Doing business as

National Provider Directory

National Provider Directory

Locations

3539 Avalon St
Klamath Falls, OR 97603

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1659338317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST",
            "address_2": "STE. 311",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034880",
            "telephone_number": "541-882-2426",
            "fax_number": "541-882-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 S 6TH ST",
            "address_2": "STE. 311",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034880",
            "telephone_number": "541-882-2426",
            "fax_number": "541-882-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT N EDWARDS JR MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NORFLEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-882-2426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID",
            "identifier": "055294000",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "38D0859086",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116645",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pyramid Cremations & Linkville Medical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.