Organization Active NPI

Northwest Community Laboratories a Division of Multicare Health System

Doing business as Northwest Community Laboratories

  • Clinical Medical Laboratory
  • Tukwila, WA
National Provider Identifier
1891558128
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NORTHWEST COMMUNITY LABORATORIES A DIVISION OF MULTICARE HEALTH SYSTEM
Doing business as
Northwest Community Laboratories
Practice address
12401 E Marginal Way S
Tukwila, WA 98168-2558
Phone
(206) 712-7302
NPI assigned
Jan 31, 2024
Organization subpart
Yes
Parent organization
MULTICARE HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Authorized official

Name
Mr. William Glenn Robertson
Title
Ceo
Phone
(253) 403-1272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12401 E Marginal Way S
Tukwila, WA 98168-2558

Mailing address

P.O. Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299

Other names 1

  • Northwest Community Laboratories Doing business as

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
50D2325997Multicare Toxicology Laboratory12401 E Marginal Way S, Tukwila, WA 98168ComplianceApr 4, 2028

National Provider Directory

National Provider Directory
Part of
Covington Urgent Care C

Locations

12401 E Marginal Way S
Tukwila, WA 98168
Phone (206) 712-7300

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1891558128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 E MARGINAL WAY S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981682558",
            "telephone_number": "206-712-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMMUNITY LABORATORIES A DIVISION OF MULTICARE HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MULTICARE HEALTH SYSTEM",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "253-403-1272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Community Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.