Active NPI
Robert N Edwards Jr MD
- Clinical Medical Laboratory
- Klamath Falls, OR
National Provider Identifier
1659338317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 366
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055294000 | Other | OR | BLUE CROSS PROVIDER ID |
| 38D0859086 | Other | OR | CLIA |
| 116645 | Medicaid | OR |
Other names 1
- Pyramid Cremations & Linkville Medical Laboratories
National Provider Directory
National Provider DirectoryLocations
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.