Organization Active NPI

Kashi Clinical Laboratories, LLC

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1861617680
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
38D1058476 Issued in OR
Legal business name
KASHI CLINICAL LABORATORIES, LLC
Practice address
10101 SW Barbur Blvd. Suite 200
Portland, OR 97219-5915
Phone
(503) 206-4989
Fax
(503) 206-6939
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Dr. Zahra Mehdizadeh Kashi, PHDNPI 1649344045
Title
Ceo & Lab Director
Phone
(503) 206-4989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 38D1058476 OR Primary

Addresses

Primary practice location

10101 SW Barbur Blvd. Suite 200
Portland, OR 97219-5915

Mailing address

10101 SW Barbur Blvd Ste 200
Portland, OR 97219-5915
Phone (503) 206-4989

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070521000187 OR Part B Supplier - Independent Clinical Laboratory 4284731613 Practice locations: Portland, OR

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
38D1058476Kashi Clinical Laboratories, LLC10101 SW Barbur Blvd Suite 200, Portland, OR 97219AccreditationAug 28, 2026

National Provider Directory

National Provider Directory

Locations

8075 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 336-4713

10101 SW Barbur Blvd
Ste 200
Portland, OR 97219
Phone (503) 206-4989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1861617680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 SW BARBUR BLVD STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195915",
            "telephone_number": "503-206-4989",
            "fax_number": "503-206-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 SW BARBUR BLVD. SUITE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195915",
            "telephone_number": "503-206-4989",
            "fax_number": "503-206-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KASHI CLINICAL LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MEHDIZADEH KASHI",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_title_or_position": "CEO & LAB DIRECTOR",
        "authorized_official_telephone_number": "503-206-4989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D1058476",
            "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 Jul 17, 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.