NPIMap

Organization Active NPI

Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
National Provider Identifier
1699894022
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SWEDISH EDMONDS
Practice address
21601 76TH Ave W
Edmonds, WA 98026-7507
Phone
(425) 640-4750
Fax
(425) 640-4680
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Mr. Donald Wayne Anderson Jr.
Title
Assistant Secreatry for Enrollment
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

21601 76TH Ave W
Edmonds, WA 98026-7507

Mailing address

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 640-4750

Other names 1

  • Stevens Hospital Lab Svcs Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109001021 WA Part A Provider - Hospital 6305031931 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Edmonds, WA; Everett, WA

Hospital certification: CCN 500026

Legal name
SWEDISH EDMONDS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 19, 2025
Beds
217
Ownership / control type
Private (not for profit)
Most recent change of ownership
Sep 1, 2010 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 2010 in WA
Enrollment address
21601 76TH Ave W
Edmonds, WA 98026-7507
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Swedish Edmonds HospitalCCN 500026
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0629863Swedish Edmonds Laboratory21601 76TH Ave W, Edmonds, WA 98026AccreditationApr 4, 2028
50D2175974Swedish Edmonds Laboratory Poct21601 76TH Ave W, Edmonds, WA 98026ComplianceApr 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

21911 76th Ave W
Ste 207
Edmonds, WA 98026
Phone (425) 640-4000

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ronald Berenstain Individual Corporate DirectorBoard Member Jan 1, 2026
Diankha Linear Individual Corporate DirectorSwedish Board of Directors Mar 8, 2021
Bruce Blume Individual Corporate DirectorBoard Member Jan 1, 2026
Christina Park Individual Corporate OfficerAssistant Corp Secretary Nov 14, 2025
Providence Health & Services - Washington Organization, Renton, WA Corporation, Non-profit Operational/Managerial Control Feb 1, 2012 100%
Swedish Health Services Organization, Seattle, WA Non-profit 5% Or Greater Direct Ownership Interest Feb 1, 2012 100%
Constantina Pappas Individual Corporate DirectorBoard Member Jan 1, 2026
Christina Prkic Individual Corporate DirectorBoard Member Jan 1, 2025
Monica P Knox Individual Corporate DirectorBoard of Director Dec 1, 2019
Javier Saade Individual Corporate DirectorBoard Member Jan 1, 2025
Western Healthconnect Organization, Seattle, WA Non-profit Other Feb 1, 2012
Michael J Katz Individual Corporate DirectorBoard Member Jan 1, 2024
James Martin Individual Corporate OfficerAssistant Treasurer Jan 13, 2023
Donald Wayne Anderson Individual Corporate OfficerAsst Sec for Enrollment Jan 1, 2017
Gregory David Hoffman Individual Corporate OfficerEvp & Cfo / Treasurer Oct 1, 2020
Rayburn Lewis Individual Corporate DirectorBoard Member Jan 1, 2024
Meredith J Baty Individual Corporate DirectorSwedish Board of Directors Mar 1, 2022
Elizabeth Wako Individual Corporate OfficerPresident & Ceo Apr 4, 2023
Scott L Combs Individual W-2 Managing EmployeeFinancial Executive Jul 1, 2022
Alvin a Sturdivant Individual Corporate DirectorSwedish Board of Directors Mar 1, 2022
Rick a Cantu Individual Corporate DirectorBoard of Director Dec 1, 2019
Anna R Newsom Individual Corporate OfficerCorporate Secretary May 13, 2022

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 863

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 863

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1699894022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4750",
            "fax_number": "425-640-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21601 76TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267507",
            "telephone_number": "425-640-4750",
            "fax_number": "425-640-4680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDISH EDMONDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stevens Hospital Lab Svcs",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stevens Hospital Lab Svcs",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.