Clinical Laboratories P S

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MTS-0299 Issued in WA

Legal business name

CLINICAL LABORATORIES P S

Practice address

750 Swift Blvd
Suite 5
Richland, WA 99352-3521

Phone

(509) 943-6060

Fax

(509) 946-0397

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard W Long, M.D.NPI 1174618490

Title

C.E.O.

Phone

(509) 943-6060

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard W Long, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Richland, WA
  • NPI 1174618490
  NPD Authorized official
• Kevin P Sargeant, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Portland, OR
  • NPI 1003901331
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1942354535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 SWIFT BLVD",
            "address_2": "SUITE 5",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523521",
            "telephone_number": "509-943-6060",
            "fax_number": "509-946-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 SWIFT BLVD",
            "address_2": "SUITE 5",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523521",
            "telephone_number": "509-943-6060",
            "fax_number": "509-946-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL LABORATORIES P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "509-943-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS-0299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & IND.",
            "identifier": "0167509",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL DEEOIC",
            "identifier": "191582400",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA#",
            "identifier": "50D0640090",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS ID#",
            "identifier": "7015621",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise M Clapp
• Jennifer Anne Clark, LCPC
• McKensie R Cleavenger, LMFT
• John Thomas Cleaves, M.D.
• Amy Michelle Clements, MA, CCC-SLP
• Crystal Clyde
• Joshua F Coates, PA C
• Therese Ann Cobb, MSW, BCETS, LSWAA
• Randall D Cobble, PAC
• Cody Crow (Crow Massage and Esthetics)

• Clinical Medical Laboratory in Richland, WA
• Providers in Richland, 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 Apr 12, 2011; 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.