Ebony V Guthrie, RPT CNA MAP CPT MROA

Primary specialty

Medical Laboratory TechnicianTaxonomy code 246RM2200X

License

PC60569765 Issued in WA

Practice address

4220 Factoria Blvd SE Apt 209
Bellevue, WA 98006-1910

Phone

(206) 475-0965

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quantumlab Innovative Solutions

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1750124830
  NPD Authorized official

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1891416319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 FACTORIA BLVD SE APT 210",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061910",
            "telephone_number": "888-522-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 FACTORIA BLVD SE APT 209",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061910",
            "telephone_number": "206-475-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "EBONY",
        "middle_name": "V",
        "credential": "RPT CNA MAP CPT MROA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "WA",
            "license": "PC60569765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Guski
• Erianne Marie Gustaf, DPT
• Daylene Marie Gustafson, RBT, CBT
• Eric Albert Gustafson, MD
• Charlotta G Gustafsson
• Gregory Doxey Gutke, M.D., M.P.H.
• Jessica Guy
• Michelle Guzman Johnson, MS, RD, CSSD, CD
• Alejandra Teresa Guzman-Ramos
• Patricia Guzman, LMP

• Medical Laboratory Technician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Medical Laboratory Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.