Organization Active NPI

Diabetomics, Inc.

  • Clinical Medical Laboratory
  • Hillsboro, OR
National Provider Identifier
1992087654
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
38D2018569 Issued in OR
Legal business name
DIABETOMICS, INC.
Practice address
2345 NW Amberbrook Dr
Suite 140
Hillsboro, OR 97006-6972
Phone
(503) 924-5110
Fax
(503) 924-5111
NPI assigned
Sep 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Authorized official

Name
Dr. Steven Kazmierczak, PH.D.
Title
Director of Laboratory
Phone
(503) 924-5110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 38D2018569 OR Primary

Addresses

Primary practice location

2345 NW Amberbrook Dr
Suite 140
Hillsboro, OR 97006-6972

Mailing address

2345 NW Amberbrook Dr
Suite 140
Hillsboro, OR 97006-6972
Phone (503) 924-5110

National Provider Directory

National Provider Directory

Locations

20000 NW Walker Rd
Beaverton, OR 97006
Phone 50392451106627

NPI Registry JSON

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386115200000",
    "number": "1992087654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 NW AMBERBROOK DR",
            "address_2": "SUITE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066972",
            "telephone_number": "503-924-5110",
            "fax_number": "503-924-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 NW AMBERBROOK DR",
            "address_2": "SUITE 140",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970066972",
            "telephone_number": "503-924-5110",
            "fax_number": "503-924-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETOMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-19",
        "last_updated": "2013-12-04",
        "status": "A",
        "authorized_official_last_name": "KAZMIERCZAK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR OF LABORATORY",
        "authorized_official_telephone_number": "503-924-5110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "38D2018569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2013; 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.