DYNACARE NORTHWEST INC (NPI# 1184889305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184889305 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST INC |
| Other Organization Name | PAC MED CLINICS - TOTEM LAKE |
| Practice Address |
12910 Totem Lake Blvd Ne Kirkland WA 98034-2954 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 4258145000 |
| Mailing Telephone | 8002227566 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MR. WILLIAM B HAYES (CFO EVP TREASURER) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 50D0630365 | 01 |
| Other Name | Type Code |
|---|---|
| Pac Med Clinics - Totem Lake | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487810222 | Dynacare Northwest Inc | Clinical Medical Laboratory | 2005 Nw Sammamish Rd Bldg B, Issaquah, WA 98027-8940 | 2008-07-31 |
| 1801051040 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1730 Minor Ave Ste 100, Seattle, WA 98101-1498 | 2008-07-28 |
| 1972768117 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1780 Nw Myhre Rd Ste 1240, Silverdale, WA 98383-8676 | 2008-07-28 |
| 1699810291 | Dynacare Northwest Inc | Clinical Medical Laboratory | 747 Broadway B Floor, Seattle, WA 98122-4379 | 2007-02-21 |
| 1023324217 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2010-08-25 |
| 1124344361 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1536 N 115th St, Ste 200, Seattle, WA 98133-8400 | 2010-04-13 |
| 1124351143 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1101 Madison St, Ste 301, Seattle, WA 98104-3599 | 2009-09-09 |
| 1508199597 | Dynacare Northwest Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Ste 300, Seattle, WA 98116-3307 | 2009-09-09 |
| 1043543036 | Dynacare Northwest Inc | Clinical Medical Laboratory | 550 16th Ave, Ste 100, Seattle, WA 98122-5636 | 2009-09-09 |
| 1275766552 | Dynacare Northwest Inc | Clinical Medical Laboratory | 2700 Northup Way, Bellevue, WA 98004-1463 | 2009-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DYNACARE NORTHWEST INC. | 531 S Spring St, Burlington, NC 27215-5866 |
| Street Address |
12910 TOTEM LAKE BLVD NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447251970 | Bonnie Gong | Obstetrics & Gynecology | 12910 Totem Lake Blvd Ne, Suite 102, Kirkland, WA 98034-2954 | 2005-08-09 |
| 1629450903 | Gina Sue Yuasa | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2955 | 2015-06-23 |
| 1235566886 | Nora R. Faram | Social Worker | 12910 Totem Lake Blvd Ne, Suite 100, Kirkland, WA 98034-2951 | 2013-09-27 |
| 1790094167 | Washington Therapy Group, Inc. | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2010-10-01 |
| 1376665786 | Rozanni Senanayake | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2007-04-05 |
| 1841331006 | Hilary D Noe | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2007-02-09 |
| 1265504393 | Michelle Aguiling Navaja | Physical Therapist | 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034-2954 | 2006-11-14 |
| 1780765362 | Christopher F Bailey | Psychiatry & Neurology | 12910 Totem Lake Blvd Ne, #101, Kirkland, WA 98034-2954 | 2006-10-18 |
| 1346339751 | Laine Marie Gawthrop | Internal Medicine | 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034-2954 | 2006-10-12 |
| 1851405591 | Kasi Graul | Physical Therapist | 12910 Totem Lake Blvd Ne, Suite 101, Kirkland, WA 98034-2954 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| 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 |
|---|---|---|---|---|
| 1598151276 | Resolution Bioscience | Clinical Medical Laboratory | 550 Kirkland Way Ste L100, Kirkland, WA 98033-6297 | 2015-04-09 |
| 1184820771 | Clubstaffing | Clinical Medical Laboratory | 13008 Ne 120th Ln Apt R202, Kirkland, WA 98034-9302 | 2007-06-21 |
| 1053413849 | Nw Center for Reproductive Science | Clinical Medical Laboratory | 12333 Ne 130th Ln Ste 220, Kirkland, WA 98034-7467 | 2006-09-02 |
| 1609123330 | Longevity Laboratory, LLC | Clinical Medical Laboratory | 9757 Ne Juanita Dr, 202, Kirkland, WA 98034-4299 | 2012-08-13 |
| 1942570593 | Laboratory Corporation of America | Clinical Medical Laboratory | 12910 Totem Lake Blvd Ne Ste 101, Kirkland, WA 98034-2901 | 2012-01-12 |
| 1861612921 | Public Hospital District No. 2 | Clinical Medical Laboratory | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-04-30 |
| 1427185388 | Puget Sound Gastroenterology, Pllc | Clinical Medical Laboratory | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2007-02-27 |
| 1760400717 | Quest Diagnostics Clinical Lab Inc. | Clinical Medical Laboratory | 12911 120th Ave Ne, Ste A40, Kirkland, WA 98034-3075 | 2006-07-18 |
| 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 |
| 1154949733 | Washington State University | Clinical Medical Laboratory | Bustad Hall Room 155n, Pullman, WA 99164-0001 | 2020-07-09 |
| 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 |
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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.