Eclipse Medical Group, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ECLIPSE MEDICAL GROUP, INC.

Practice address

3240 14TH Ave NW
Olympia, WA 98502-8509

Phone

(360) 790-0767

NPI assigned

Oct 6, 2015

Organization subpart

No

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

Authorized official

Name

Ross Vogelgesang

Title

President

Phone

(360) 259-4069

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1982074621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 14TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028509",
            "telephone_number": "360-790-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 14TH AVE NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028509",
            "telephone_number": "360-790-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "VOGELGESANG",
        "authorized_official_first_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-259-4069"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Ebarle Ebalo, M.D.
• Karol Kay Prosser Ebio, LMFT
• Michael John Eby
• Leesa Catharine Echols, MD
• Dee Gabriel Eckhardt, PT
• Martha Eden, EAMP
• Angela Dawn Edge, RPH
• Ann B Edington, LMHC
• Chase Edminster, DPT
• James S Edstam, M.D.

• Clinical Medical Laboratory in Olympia, WA
• Providers in Olympia, 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 Oct 6, 2015; 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.