ZRT Laboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ZRT LABORATORY LLC

Practice address

8605 SW Creekside Place
Beaverton, OR 97008-7161

Phone

(503) 466-2445

Fax

(503) 645-1552

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Zava, PHD

Title

President,Owner,Ceo

Phone

(503) 466-2445

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1740356872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SW CREEKSIDE PLACE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087161",
            "telephone_number": "503-466-2445",
            "fax_number": "503-645-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8605 SW CREEKSIDE PLACE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970087161",
            "telephone_number": "503-466-2445",
            "fax_number": "503-645-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZRT LABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "ZAVA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT,OWNER,CEO",
        "authorized_official_telephone_number": "503-466-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 18, 2007; 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.