NPIMap

Organization Active NPI

Medical Center Laboratory, Inc. PS

  • Pathology Specialist/Technologist
  • Yakima, WA
National Provider Identifier
1700995966
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
MTS-0302 Issued in WA
Legal business name
MEDICAL CENTER LABORATORY, INC. PS
Practice address
401 S 12TH Ave
Yakima, WA 98902-3142
Phone
(509) 248-1831
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. John W. Onstad, M.D.NPI 1174606107
Title
President/Partner
Phone
(509) 248-1831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pathology Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246Q00000X MTS-0302 WA Primary
Cytotechnology Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246QC2700X MTS-0302 WA
Histology Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246QH0600X MTS-0302 WA

Addresses

Primary practice location

401 S 12TH Ave
Yakima, WA 98902-3142

Mailing address

401 S 12TH Ave
Yakima, WA 98902-3142
Phone (509) 248-1831

Other identifiers 2

IdentifierTypeStateIssuer
7811003MedicaidWA
50D0638408OtherWACLIA

National Provider Directory

National Provider Directory

Locations

401 S 12th Ave
Yakima, WA 98902
Phone (509) 248-1831

1120 W Spruce St
Yakima, WA 98902
Phone (509) 248-1831

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1700995966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023142",
            "telephone_number": "509-248-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S 12TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023142",
            "telephone_number": "509-248-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER LABORATORY, INC. PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "ONSTAD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT/PARTNER",
        "authorized_official_telephone_number": "509-248-1831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "246Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology",
            "state": "WA",
            "license": "MTS-0302",
            "primary": true
        },
        {
            "code": "246QC2700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Cytotechnology",
            "state": "WA",
            "license": "MTS-0302",
            "primary": false
        },
        {
            "code": "246QH0600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Pathology, Histology",
            "state": "WA",
            "license": "MTS-0302",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7811003",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D0638408",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.