Tri-Cities Laboratory, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

MTS-0399 Issued in WA

Legal business name

TRI-CITIES LABORATORY, LLC

Practice address

7131 W Grandridge Blvd
Kennewick, WA 99336

Phone

(509) 736-1111

NPI assigned

Dec 1, 2005

Last updated

Sep 6, 2018By 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

Kimberly T Williams

Title

Vice President

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1952385056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2688",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992202688",
            "telephone_number": "509-736-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 W GRANDRIDGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "99336",
            "telephone_number": "509-736-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-01",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "MTS-0399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri-Cities Infusion and Wellness Clinic
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory LLC
• Tri-Cities Laboratory, LLC
• Tri-Cities Primary Care
• Tri-Cities Regenerative Institute
• Tri-Cities Vision Center
• Tri-City Derm Management Inc.
• Tri-City Neurology, Inc.

• Clinical Medical Laboratory in Kennewick, WA
• Providers in Kennewick, 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 Sep 6, 2018; 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.