NPIMap

Organization Active NPI

Nunm Laboratory

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1740306935
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
38D0624258 Issued in OR
Legal business name
NUNM LABORATORY
Practice address
3025 SW Corbett Street
Portland, OR 97201
Phone
(503) 552-1933
Fax
(503) 257-5929
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Authorized official

Name
Dr. Sonia Kapur, PHD
Title
Laboratory Director
Phone
(503) 552-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 38D0624258 OR Primary

Addresses

Primary practice location

3025 SW Corbett Street
Portland, OR 97201

Mailing address

3025 SW Corbett Street
Portland, OR 97201
Phone (503) 552-1933

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
38D0624258Nunm Laboratory3025 S Corbett Ave, Portland, OR 97201Certificate of waiverDec 31, 2026
38D2099835Nunm Community Clinics3025 S Corbett Ave, Portland, OR 97201Certificate of waiverAug 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
National College of Natural Medicine7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474243200000",
    "number": "1740306935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 SW CORBETT STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97201",
            "telephone_number": "503-552-1933",
            "fax_number": "503-257-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SW CORBETT STREET",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97201",
            "telephone_number": "503-552-1933",
            "fax_number": "503-257-5929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUNM LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-09-19",
        "status": "A",
        "authorized_official_last_name": "KAPUR",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "503-552-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D0624258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.