Dynacare Northwest, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DYNACARE NORTHWEST, INC.

Practice address

550 17TH Ave
Suite 310
Seattle, WA 98122-5788

Phone

(206) 861-7000

NPI assigned

Mar 7, 2013

Organization subpart

No

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

Authorized official

Name

Kimberly Williams

Title

VP

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dynacare Northwest

  • Clinical Medical Laboratory
  • Mount Vernon, WA
  • NPI 1215072814

  O20040217000665, O20130206000439

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Bothell, WA
  • NPI 1023324217

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1043543036

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1124344361

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1124351143

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  dba Swedish Ballard

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1255597092

  O20130206000439

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1275766552

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  dba Pac Med Clinics Lynnwood

  • Clinical Medical Laboratory
  • Lynnwood, WA
  • NPI 1275798407

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1508199597

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Bellevue, WA
  • NPI 1548493810

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1699810291

  O20040217000665

  Same enrollment
• Dynacare Northwest Inc

  dba Swedish Family Medicine

  • Clinical Medical Laboratory
  • Seattle, WA
  • NPI 1710143557

  O20040217000665

  Same enrollment

Locations

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1962743484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240",
            "telephone_number": "800-222-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE",
            "address_2": "SUITE 310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225788",
            "telephone_number": "206-861-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNACARE NORTHWEST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D2053987",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dynacare Northwest, Inc
• Dynacare Northwest, Inc
• Dynacare Northwest, Inc
• Dynacare Northwest, Inc
• Dynacare Northwest, Inc.
• Joseph Adam Dynako, MD
• Dynamic Mental Healthcare
• Shaun David Dyreng, RN
• Sarah Scott Dyrhaug
• Jorg Dziersk

• Clinical Medical Laboratory in Seattle, WA
• Providers in Seattle, 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 Dec 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.