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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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 SYSTEM
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2325997 | Multicare Toxicology Laboratory | Compliance | Apr 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.