Organization Active NPI

Carenexa, LLC

Doing business as Molecular Testing Labs

  • Clinical Medical Laboratory
  • Vancouver, WA
National Provider Identifier
1790021517
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
50D2050397 Issued in WA
Legal business name
CARENEXA, LLC
Doing business as
Molecular Testing Labs
Practice address
14401 SE 1St St
Vancouver, WA 98684-3503
Phone
(855) 685-5227
NPI assigned
Dec 26, 2012
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Rene Nicole Hurst-Wall
Title
Senior Manager Payor Relations
Phone
(360) 208-0758

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 50D2050397 WA Primary

Addresses

Primary practice location

14401 SE 1St St
Vancouver, WA 98684-3503

Mailing address

PO Box 84770
Seattle, WA 98124-6070
Phone (855) 685-5227

Other names 1

  • Molecular Testing Labs Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130611000851 WA Part B Supplier - Independent Clinical Laboratory 0345495206 Practice locations: Vancouver, WA

Other NPIs with the same Medicare PAC ID 1

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

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
50D2050397Molecular Testing Labs14401 SE 1St St, Vancouver, WA 98684AccreditationApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Carenexa LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

14401 SE 1st St
Vancouver, WA 98684
Phone (360) 693-8850

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1790021517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84770",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246070",
            "telephone_number": "855-685-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14401 SE 1ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986843503",
            "telephone_number": "855-685-5227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARENEXA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "HURST-WALL",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SENIOR MANAGER PAYOR RELATIONS",
        "authorized_official_telephone_number": "360-208-0758"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "50D2050397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular Testing Labs",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Molecular Testing Labs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.