MEDICAL DIAGNOSTIC LABORATORY INC (NPI# 1386704310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386704310 |
| Entity Type | Organization |
| Organization Name | MEDICAL DIAGNOSTIC LABORATORY INC |
| Practice Address |
409 Eleanor Lane Building B Mount Vernon WA 98273 |
| Mailing Address |
1500 E College Way Suite A, Pmb 276 Mount Vernon WA 98273-5637 |
| Practice Telephone | 3605423232 |
| Practice Fax Number | 3604246326 |
| Mailing Telephone | 3605423232 |
| Mailing Fax Number | 3604246326 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KATHY PFEIFFER (BOOKKEEPER) |
| Authorized Official Telephone | 3605423232 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | MTS-4979 | WA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSE | MTS-4979 | 01 |
| Street Address |
409 ELEANOR LANE BUILDING B |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
| 1447866165 | Jennifer I Campos | Interpreter | 1501 Sunset Pl., Unit B, Mount Vernon, WA 98273 | 2020-09-17 |
| 1487217345 | Nicholas Peter Goodman | Student in an Organized Health Care Education/Training Program | Attn: Internal Medicine Residency, 300 Hospital Parkway, Mount Vernon, WA 98273 | 2019-04-17 |
| 1023579430 | Joan Watkins Opyr | Registered Nurse | Telecare North Sound E&t, 7825 North Sound Drive, Sedro-woolley, WA 98273 | 2019-03-28 |
| 1588136188 | Nicholas Bryan Corp | Physical Therapy Assistant | 1901 Hoag Road, Mount Vernon, WA 98273 | 2018-12-20 |
| 1518437300 | Eyonna Mason | Case Manager/Care Coordinator | 1100 52nd St, Mount Vernon, WA 98273 | 2018-12-05 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1104320480 | Stacy Anne Black | Marriage & Family Therapist | 2301 Old Hwy 99, Mt. Vernon, WA 98273 | 2018-03-21 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1992225320 | Juana Cleek | Registered Nurse | 330 Pacific Place, Mount Vernon, WA 98273 | 2017-06-27 |
| Find all providers in zip 98273 | ||||
| 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 |
|---|---|---|---|---|
| 1366759557 | Laboratory Corporation of America | Clinical Medical Laboratory | 1117 E Division St, Mount Vernon, WA 98274-4004 | 2010-09-09 |
| 1588697585 | Laboratory Corporation of America | Clinical Medical Laboratory | 120 S 13th St, Mount Vernon, WA 98274-4106 | 2006-07-10 |
| 1043852932 | Heartland Women's Healthcare Ltd | Clinical Medical Laboratory | 1407 Mcpherson Ave, Mount Vernon, IL 62864-2822 | 2019-10-11 |
| 1295043438 | Laboratory Corporation of America | Clinical Medical Laboratory | 2116 E Section St, Mount Vernon, WA 98274-9124 | 2010-09-22 |
| 1932417177 | Laboratory Corporation of America | Clinical Medical Laboratory | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2010-09-22 |
| 1568770717 | Laboratory Corporation of America | Clinical Medical Laboratory | 111 S 12th St, Ste B, Mount Vernon, WA 98274-4000 | 2010-09-22 |
| 1215072814 | Dynacare Northwest | Clinical Medical Laboratory | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2007-02-21 |
| 1982780458 | Path Tech, LLC | Clinical Medical Laboratory | 1310 E Division St, Mount Vernon, WA 98274-4133 | 2006-10-27 |
| 1801972377 | Skagit Pathology, Inc, Ps | Clinical Medical Laboratory | 1310 E Division St, Mount Vernon, WA 98274-4133 | 2006-10-27 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 98273 |
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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.