Sibo Testing Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SIBO TESTING CENTER, LLC

Practice address

1820 SW Vermont St Ste G
Portland, OR 97219-1945

Phone

(971) 266-8383

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Crane J HolmesNPI 1316498793

Title

Owner

Phone

(971) 266-8383

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Crane J Holmes, ND

  • Naturopath
  • Portland, OR
  • NPI 1316498793
  NPD Authorized official

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1912540741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SW VERMONT ST STE G",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972191945",
            "telephone_number": "971-266-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIBO TESTING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CRANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-266-8383"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwabena Siaka
• David Matthew Sibell, M.D.
• Brynna Levin Sibilla, LCSW
• Dana William Sibilla, DC
• Cailin Henderson Sibley, M.D.
• Laura May Sibony
• Andrea Sibree
• Irish Christian Sicat
• Noel Marie Sicat, LCSW
• Kayla Sichampanahone

• Clinical Medical Laboratory in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Medical Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.