NPIMap

Organization Active NPI

University of Washington

Doing business as University of Washington Medical Center

  • Clinical Medical Laboratory
  • Seattle, WA
National Provider Identifier
1710105010
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
H-128 Issued in WA
Legal business name
UNIVERSITY OF WASHINGTON
Doing business as
University of Washington Medical Center
Practice address
1959 NE Pacific St
Box 357110
Seattle, WA 98195-0001
Phone
(206) 616-8900
Fax
(206) 616-8911
NPI assigned
Apr 23, 2007
Last updated
Feb 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Authorized official

Name
Marcelo Collantes
Title
Chief Financial Officer Labmed
Phone
(206) 616-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X H-128 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Box 357110
Seattle, WA 98195-0001

Mailing address

PO Box 24366
Seattle, WA 98124-0366
Phone (206) 598-0502

Other names 1

  • University of Washington Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040219000283 WA Part B Supplier - Independent Clinical Laboratory 3274445150 Practice locations: Seattle, WA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
U of W Speech Hear CL48 organizations share this tax ID, including this one

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

1616 Eastlake Ave E
Ste 32
Seattle, WA 98102
Phone (206) 616-8900

850 Republican St
Fl 2
Seattle, WA 98109

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
University of Washington Medical CenterSeattle, WA, CCN 500008 Hospital Operational/Managerial Control Nov 27, 2007
Harborview Medical CenterSeattle, WA, CCN 500064 Hospital 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Nov 15, 2007
Nov 15, 2007
University of Washington Medical CenterSeattle, WA, CCN 50S008 Hospital Operational/Managerial Control (100%) Nov 27, 2007
University of Washington Medical CenterSeattle, WA, CCN 50T008 Hospital Operational/Managerial Control (100%) Nov 27, 2007
Harborview Medical CenterSeattle, WA, CCN 50S064 Hospital 5% Or Greater Direct Ownership Interest Jul 1, 1984
Harborview Medical CenterSeattle, WA, CCN 50T064 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1984

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614211200000",
    "number": "1710105010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24366",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240366",
            "telephone_number": "206-598-0502",
            "fax_number": "206-598-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX 357110",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-616-8900",
            "fax_number": "206-616-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A",
        "authorized_official_last_name": "COLLANTES",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER LABMED",
        "authorized_official_telephone_number": "206-616-8886"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "H-128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Washington Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Washington Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.