Organization Active NPI

Saliva Testing and Reference Lab, Inc

  • Clinical Medical Laboratory
  • Seattle, WA
National Provider Identifier
1881740306
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
MTS3640 CAT A Issued in WA
Legal business name
SALIVA TESTING AND REFERENCE LAB, INC
Practice address
562 1St Ave S
Suite 703
Seattle, WA 98104-3820
Phone
(206) 217-0911
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lindsay F. Hofman, PHD, DABCC
Title
Laboratory Director
Phone
(206) 217-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MTS3640 CAT A WA Primary

Addresses

Primary practice location

562 1St Ave S
Suite 703
Seattle, WA 98104-3820

Mailing address

PO Box 771
Vashon, WA 98070-0771
Phone (206) 217-0911

Other names 1

  • STAR lab Other name

National Provider Directory

National Provider Directory

Locations

562 1st Ave S
Ste 703
Seattle, WA 98104
Phone (206) 217-0911

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881740306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 771",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980700771",
            "telephone_number": "206-217-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 1ST AVE S",
            "address_2": "SUITE 703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043820",
            "telephone_number": "206-217-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALIVA TESTING AND REFERENCE LAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFMAN",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "206-217-0911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, DABCC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS3640 CAT A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STAR lab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.