DYNACARE NORTHWEST INC (NPI# 1245495472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245495472 |
Entity Type | Organization |
Organization Name | DYNACARE NORTHWEST INC |
Other Organization Name | PAC MED CLINICS NORTHGATE |
Practice Address |
10416 5th Ave Ne Seattle WA 98125-7402 |
Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
Practice Telephone | 2065176667 |
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 | 50D0632866 | 01 |
Other Name | Type Code |
---|---|
Pac Med Clinics Northgate | 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 |
10416 5TH AVE NE |
City | SEATTLE |
State | WA |
Zip Code | 98125-7402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114915071 | Margaret Clowry | Internal Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2005-10-13 |
1932634359 | Madolyn Krengel | Internal Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2017-04-23 |
1407253479 | Norman Landry | Physical Therapist | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2014-11-19 |
1467899963 | Priyanka Naik | Family Medicine | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2013-05-24 |
1184981771 | Maxor National Pharmacy Services LLC | Pharmacy | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2012-04-19 |
1457623597 | Laboratory Corporation of America | Clinical Medical Laboratory | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2012-02-06 |
1962646182 | Jennifer Supowit | Physical Therapist | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2009-05-01 |
1215111976 | Robin S Graham | Licensed Practical Nurse | 10416 5th Ave Ne, Seattle, WA 98125-7402 | 2007-12-18 |
1639366354 | Michael L Giese | Optometrist | 10416 5th Ave Ne, Seattle, WA 98125 | 2007-09-26 |
1649489238 | Anna Ley Stiver | Physical Therapist | 10416 5th Ave Ne, Suite 100, Seattle, WA 98125-7402 | 2007-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
Find all providers in zip 98125 |
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. |
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1356906713 | Actx, Inc. | Clinical Medical Laboratory | 2101 4th Ave Ste 1180, Seattle, WA 98121-2318 | 2019-05-01 |
1659837961 | Fidalab | Clinical Medical Laboratory | 2296 W Commodore Way Ste 220, Seattle, WA 98199-1565 | 2019-02-12 |
1881128700 | Kimberly Freeland Starr | Clinical Medical Laboratory | 12508 Lake City Way Ne Apt 313, Seattle, WA 98125-4437 | 2017-04-18 |
1497133573 | Blueprint Genetics | Clinical Medical Laboratory | 2505 3rd Ave Ste 204, Seattle, WA 98121-1480 | 2015-05-11 |
1275936973 | Laboratory Corporation of America | Clinical Medical Laboratory | 5414 Barnes Ave Nw # 2, Seattle, WA 98107-3839 | 2014-10-08 |
1720489834 | Atlas Genomics LLC | Clinical Medical Laboratory | 2296 W Commodore Way, Ste 220, Seattle, WA 98199-1565 | 2014-09-08 |
1508105024 | Adaptive Biotechnologies Corporation | Clinical Medical Laboratory | 1551 Eastlake Ave E, Suite 200, Seattle, WA 98102-7402 | 2013-02-04 |
1306139696 | Atossa Genetics Inc | Clinical Medical Laboratory | 1616 Eastlake Ave E, Ste 360, Seattle, WA 98102 | 2011-05-19 |
1942504402 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 1101 Madison St Ste 510, Seattle, WA 98104-3557 | 2010-12-27 |
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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.