Pacific Physicians Laboratory, Inc.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD00012785 Issued in WA

Legal business name

PACIFIC PHYSICIANS LABORATORY, INC.

Practice address

21313 68TH Ave W
Lynnwood, WA 98036-7300

Phone

(425) 774-3751

Fax

(425) 775-0848

NPI assigned

Apr 18, 2006

Last updated

Jul 26, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Myles Standish

Title

President

Phone

(425) 774-3751

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Arthur Marc Vogel, MD

  • Anatomic Pathology Physician
  • Lynnwood, WA
  • NPI 1043286016
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1760447452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21313 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367300",
            "telephone_number": "425-774-3751",
            "fax_number": "425-775-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21313 68TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367300",
            "telephone_number": "425-774-3751",
            "fax_number": "425-775-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PHYSICIANS LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "STANDISH",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-774-3751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Cytopathology",
            "state": "WA",
            "license": "MD00012785",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "MD00012785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127731",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey E Pace
• David A Pacey, DMD
• Priscilla Ann Pacheco, SLP-CCC
• Pacific Chiropractic Clinic PLLC
• Pacific Mental Health LLC
• Pacifica SL Lynnwood LLC (Pacifica Senior Living Lynnwood)
• Katherine Packard
• Pacmed Clinics
• Marc Pagaduan, DPT
• Su Yong Pak, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.