WASHINGTON STATE UNIVERSITY (NPI# 1154949733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154949733 |
| Entity Type | Organization |
| Organization Name | WASHINGTON STATE UNIVERSITY |
| Practice Address |
Bustad Hall Room 155n Pullman WA 99164-0001 |
| Mailing Address |
Po Box 647034 Pullman WA 99164-7034 |
| Practice Telephone | 5093356047 |
| Practice Fax Number | 5093357424 |
| Mailing Telephone | 5093356047 |
| Mailing Fax Number | 5093335742 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | TIMOTHY BASZLER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5093356047 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760909055 | Washington State University | Family Medicine | 1455 Ne Cougar Way Bohler Complex, Pullman, WA 99164-0001 | 2017-08-28 |
| 1861866535 | Washington State University | Psychologist | 305 Ne Troy Mall, Pullman, WA 99164 | 2015-11-18 |
| 1962559054 | Washington State University | Audiologist | Daggy Hall, Room 133, Pullman, WA 99164-2420 | 2007-01-04 |
| 1285713776 | Washington State University | Family Medicine | 1125 Se Washington Street, Pullman, WA 99164-2302 | 2006-11-03 |
| 1225525090 | Washington State University | Health Educator | 1919 Ne 78th St, Vancouver, WA 98665 | 2018-04-17 |
| 1427105030 | Washington State University | Pharmacy | 1125 Se Washington Street, Pullman, WA 99163 | 2007-01-04 |
| 1487671194 | Washington State University | Nurse Practitioner | 829 W Broadway Ave, Spokane, WA 99201-2117 | 2006-07-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WASHINGTON STATE UNIVERSITY | 240 French Administration Bldg, Pullman, WA 99164-0001 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY ALUMNI ASSOCIATION | Lewis Alumni Centre, 1 Grimes Way, Pullman, WA 99164-6150 |
| Oregon Corporations, Companies and Business Names | WASHINGTON STATE UNIVERSITY FOUNDATION | 255 E Main Ste 201, Pullman, WA 99163 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY FOUNDATION | 255 E Main St # 201, Pullman, WA 99164 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY LAMBDA PHI EPSILON ALUMNI ASSOCIATION | 3107 170th St Sw, Lynnwood, WA 98037 |
| Washington State Corporations | WASHINGTON STATE UNIVERSITY REAL ESTATE HOLDINGS | 1230 Se Bishop Blvd, Pullman, WA 99163 |
| Street Address |
BUSTAD HALL ROOM 155N |
| City | PULLMAN |
| State | WA |
| Zip Code | 99164-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952837494 | Andrew Mutnan | Specialist/Technologist | 1547 Ne Colorado Street, Pullman, WA 99164 | 2017-05-03 |
| 1861866535 | Washington State University | Psychologist | 305 Ne Troy Mall, Pullman, WA 99164 | 2015-11-18 |
| 1174944169 | Cassie Marie Hodgin | Specialist/Technologist | 1455 Colorado St, Bohler Athletic Complex M4, Pullman, WA 99164 | 2013-12-18 |
| 1629364062 | Brenda Kay Deal Bye | Psychiatry & Neurology | Washington State University 1125 Se Washington St, Pullman, WA 99164 | 2011-06-23 |
| 1750914339 | Kalee Kennedy | Specialist/Technologist | Washington State University, 160 Cleveland Hall 1155 College Ave, Pullman, WA 99164 | 2020-02-21 |
| 1942541859 | Abby Myers Howard | Physician Assistant | 1125 Se Washington Street, Po Box 642302, Pullman, WA 99164 | 2013-03-04 |
| 1235490038 | Blake Cooper Corcoran | Family Medicine | 1125 Se Washington St., Pullman, WA 99164 | 2012-06-07 |
| 1417261934 | Kyrsten E Stoops | Family Medicine | 1125 Se Washington St, Pullman, WA 99164 | 2010-07-27 |
| 1104071752 | Pam Spens | Nurse Practitioner | 1125 Se Washington St, Pullman, WA 99164 | 2008-11-24 |
| 1700958493 | Petrina E Gavrilis | Nurse Practitioner | 1125 Se Washington St., Pullman, WA 99164 | 2006-11-15 |
| Find all providers in zip 99164 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962667170 | Public Hospital District # 1-a | Clinical Medical Laboratory | 835 Se Bishop Blvd, Pullman, WA 99163-5512 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612969 | Zain Medical Center | Clinical Medical Laboratory | 2630 N Columbia Center Blvd Ste B, Richland, WA 99352-4853 | 2020-09-08 |
| 1619580891 | Altius Institute for Biomedical Sciences | Clinical Medical Laboratory | 2211 Elliott Ave Ste 103, Seattle, WA 98121-3622 | 2020-08-26 |
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1083234504 | Yosmara Villazon | Clinical Medical Laboratory | 9321 220th St Sw, Edmonds, WA 98020-4551 | 2020-04-24 |
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1215598727 | New Life Lab Services LLC | Clinical Medical Laboratory | 5019 Grove St Ste 103b, Marysville, WA 98270-4487 | 2019-06-25 |
| 1356906713 | Actx, Inc. | Clinical Medical Laboratory | 2101 4th Ave Ste 1180, Seattle, WA 98121-2318 | 2019-05-01 |
| 1851850218 | Advantage Dx Inc | Clinical Medical Laboratory | 1801 W Broadway Ave, Spokane, WA 99201-1819 | 2019-03-15 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1659837961 | Fidalab | Clinical Medical Laboratory | 2296 W Commodore Way Ste 220, Seattle, WA 98199-1565 | 2019-02-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.