DYNACARE NORTHWEST INC (NPI# 1265697403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265697403 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST INC |
| Other Organization Name | SP QUEEN ANNE |
| Practice Address |
2211 Queen Anne Ave N Seattle WA 98109-2367 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 2068618511 |
| 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 | 50D1022193 | 01 |
| Other Name | Type Code |
|---|---|
| SP Queen Anne | 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 |
2211 QUEEN ANNE AVE N |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-2367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780789594 | John Christopher Morrison | Internal Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109 | 2006-09-14 |
| 1780166280 | Frances M Paley | Registered Nurse | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2018-08-30 |
| 1720344245 | Chandra Campbell Maloney | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2012-04-10 |
| 1013282581 | Matthew Jared Fradkin | Pediatrics | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2012-03-16 |
| 1528122751 | Mark A Johnson | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2313 | 2006-12-21 |
| 1598836504 | Maria A. Wise | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2006-11-13 |
| 1548345283 | Benjamin Starnes | Pediatrics | 2211 Queen Anne Ave N, Swedish Physicians, Seattle, WA 98109-2313 | 2006-10-25 |
| 1740364462 | Clara Y. Chan | Family Medicine | 2211 Queen Anne Ave N, Seattle, WA 98109-2367 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| 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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| 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 |
| Find all providers in SEATTLE | ||||
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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.