Overlake Reproductive Health Lab and Surgical Services, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

OVERLAKE REPRODUCTIVE HEALTH LAB AND SURGICAL SERVICES, LLC

Practice address

1135 116TH Ave NE
Suite 640
Bellevue, WA 98004-4623

Phone

(425) 646-4700

Fax

(425) 646-1076

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Johnson, M.D.

Title

Owner

Phone

(425) 646-4700

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1922037696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13684",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981981010",
            "telephone_number": "425-646-4700",
            "fax_number": "425-646-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 116TH AVE NE",
            "address_2": "SUITE 640",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044623",
            "telephone_number": "425-646-4700",
            "fax_number": "425-646-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERLAKE REPRODUCTIVE HEALTH LAB AND SURGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-646-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Overlake Medical Tower Pharmacy
• Overlake Neurology
• Overlake Obstetricians & Gynecologist P S
• Overlake Reproductive Health Inc PS.
• Overlake Reproductive Health Inc., PS
• Overlake Sleep Disorders Center
• Julia Ann Overstreet, DPM
• Dalal Owda, RPH
• Irina Owen, LMHC-A
• Edward Alexander Owens, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.