MPS Clinical Services LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MPS CLINICAL SERVICES LLC

Practice address

22316 70TH Ave W Ste 5
Mountlake Terrace, WA 98043-2184

Phone

(425) 673-5200

Fax

(425) 673-5230

NPI assigned

Oct 9, 2019

Last updated

Oct 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen L Boulanger, PHARMNPI 1902847296

Title

Director

Phone

(425) 673-5200

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Stephen Lawrence Boulanger, RPH.

  • Pharmacist
  • Mountlake Terrace, WA
  • NPI 1902847296
  NPD Authorized official
• Vuk Kovacevic, PHARMD

  • Pharmacist
  • Mountlake Terrace, WA
  • NPI 1700438421
  NPD (past)
• Katherine Nguyen

  • Pharmacist
  • Mountlake Terrace, WA
  • NPI 1710546031
  NPD (past)

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1942842257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3196",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980463196",
            "telephone_number": "425-673-5200",
            "fax_number": "425-673-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22316 70TH AVE W STE 5",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980432184",
            "telephone_number": "425-673-5200",
            "fax_number": "425-673-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "BOULANGER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "425-673-5200",
        "authorized_official_credential": "PHARM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelin Stevens Morse, MSW, LICSW
• Cara Ruth Motroni
• Mountlake Family Dentistry
• Mountlake Terrace Afh 1 LLC
• Mountlake Terrace Eye and Contact Lens Clinic
• Akruti Pratik Munshi, M.ED, BCBA
• Kevin Joseph Murphy, LCSW
• Patricia Jo Murphy, ARNP
• Jenna Ursula Muszynski
• Yayoi Nakamura, MA, LMHC

• Family Medicine Physician in Mountlake Terrace, WA
• Providers in Mountlake Terrace, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.