Lab Express Portland Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LAB EXPRESS PORTLAND INC

Practice address

10445 SW Canyon Rd Ste 113
Beaverton, OR 97005-1967

Phone

(503) 747-7427

Fax

(503) 747-7698

NPI assigned

Sep 19, 2013

Last updated

Oct 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin T Villafane Jr.

Title

President

Phone

(503) 747-7427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1669808853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10445 SW CANYON RD STE 113",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051967",
            "telephone_number": "503-747-7427",
            "fax_number": "503-747-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10445 SW CANYON RD STE 113",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051967",
            "telephone_number": "503-747-7427",
            "fax_number": "503-747-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB EXPRESS PORTLAND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "VILLAFANE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-747-7427",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas La Puma Jr., L.AC
• Ka'Imialaimaka La Vine, PMHNP-BC
• Anna La, RDH
• Ashley Marie Labar, PHYSICIAN ASSISTANT
• Eli Aaron Labinger
• Sharon Janelle Lacey
• Courtney Lackey, M.S., CCC-SLP
• Veronica Lacquement-Worcester

• Clinical Medical Laboratory in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.