Yakima Valley Professional Services, PC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

YAKIMA VALLEY PROFESSIONAL SERVICES, PC

Doing business as

Family Medicine of Yakima Laboratory

Practice address

504 N 40TH Ave
Yakima, WA 98908-4311

Phone

(509) 966-9480

Fax

(509) 966-3283

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Caroline George

Title

Director of Finance

Phone

(509) 248-7849

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Medicine of Yakima Laboratory Doing business as

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1811177314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989072947",
            "telephone_number": "509-248-7849",
            "fax_number": "509-249-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N 40TH AVE",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989084311",
            "telephone_number": "509-966-9480",
            "fax_number": "509-966-3283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY PROFESSIONAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "509-248-7849"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7137383",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine of Yakima Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yakima Valley Memorial Physicians
• Yakima Valley Professional Services on 12TH, PC (Cornerstone Medical Clinic)
• Yakima Valley Professional Services on Tieton, PC (Apple Valley Family Medicine)
• Yakima Valley Professional Services on Tieton, PC (Pacific Crest Family Medicine)
• Yakima Valley Professional Services, PC (Family Medicine of Yakima)
• Yakima Vision Center, PC
• Yakima Womens Health PLLC
• Yakima Worker Care
• Yakima Worker Care, PLLC (Worker Psych Care)
• Yakima Worker Care, PLLC (Worker Care)

• Clinical Medical Laboratory in Yakima, WA
• Providers in Yakima, WA by specialty
• Clinical Medical Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.