Organization Active NPI

Cascade Cytology Reference

Doing business as Cascade Cytology Reference Laboratory

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1932448263
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
38D0623584 Issued in OR
Legal business name
CASCADE CYTOLOGY REFERENCE
Doing business as
Cascade Cytology Reference Laboratory
Practice address
1225 NE 2ND Ave
Portland, OR 97232-2003
Phone
(503) 413-5051
Fax
(503) 413-5054
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Micheal Grattendick
Title
Cfo
Phone
(561) 514-5822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 38D0623584 OR Primary

Addresses

Primary practice location

1225 NE 2ND Ave
Portland, OR 97232-2003

Mailing address

PO Box 4207
Portland, OR 97208-4207
Phone (503) 268-4850

Other names 1

  • CASCADE CYTOLOGY REFERENCE LABORATORY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cascade Cytology Reference2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1932448263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972084207",
            "telephone_number": "503-268-4850",
            "fax_number": "503-268-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 NE 2ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322003",
            "telephone_number": "503-413-5051",
            "fax_number": "503-413-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE CYTOLOGY REFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "GRATTENDICK",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "561-514-5822"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D0623584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CASCADE CYTOLOGY REFERENCE LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CASCADE CYTOLOGY REFERENCE LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.