DYNACARE NORTHWEST INC (NPI# 1508199597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508199597 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST INC |
| Practice Address |
3400 California Ave Sw Ste 300 Seattle WA 98116-3307 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 2063205519 |
| Mailing Telephone | 8002227566 |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2013-12-23 |
| Authorized Official Name | KIMBERLY WILLIAMS (VP) |
| 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 | 50D1022470 | 01 |
| 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 |
| 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 |
| 1548493810 | Dynacare Northwest Inc | Clinical Medical Laboratory | 13333 Bel Red Rd, Ste 100, Bellevue, WA 98005-2332 | 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 |
3400 CALIFORNIA AVE SW STE 300 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98116-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396722260 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3358 | 2005-12-30 |
| 1760836571 | Reena Ramakrishnan | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2016-04-18 |
| 1245693332 | Laboratory Corporation of America | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3307 | 2016-04-05 |
| 1841670619 | The Polyclinic | Allergy & Immunology | 3400 California Ave Sw, Suite 200, Seattle, WA 98116-3307 | 2015-06-05 |
| 1538568654 | Ursula Vanessa Melendez | Registered Nurse | 3400 California Ave Sw, Seattle, WA 98116 | 2014-08-14 |
| 1679905731 | Bianca Marcu | Physician Assistant | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2013-07-31 |
| 1437412806 | Christian A Dean | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116-3307 | 2012-06-20 |
| 1912131913 | Kimberly B Simmons | Family Medicine | 3400 California Ave Sw, Seattle, WA 98116 | 2009-05-06 |
| 1811148299 | Stephanie L Greene | Physical Therapist | 3400 California Ave Sw, Suite 100, Seattle, WA 98116-3307 | 2008-10-03 |
| 1710167176 | Katherine Jarrett Winborn | Physical Therapist | 3400 California Ave Sw, Ste 100, Seattle, WA 98116-3307 | 2007-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229702 | Franciscan City Urgent Care Services, Ps | Clinic/Center | 3900 Sw Alaska St, Seattle, WA 98116 | 2017-08-02 |
| 1538692280 | Stacey Devenney | Counselor | 3026 52nd Ave Sw, Seattle, WA 98116 | 2017-04-10 |
| 1336698786 | Andrew Creed Gray | Physical Therapist | 3727 California Ave. Sw, Suite 1-a, Seattle, WA 98116 | 2016-09-27 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1043666175 | Gretchen Gerhardt | Counselor | 3272 California Ave Sw Ste 300, Seattle, WA 98116 | 2016-05-07 |
| 1609274307 | Lekea Sharon Sarah Itero | Counselor | 1116 Summit Avenue Therapeutic Health Services, Seattle, WA 98116 | 2014-12-11 |
| 1306275284 | Elizabeth Davis | Dentist | 14212 Ambaum Blvd. Sw, Suite 100, Burien, WA 98116 | 2013-11-01 |
| 1689912859 | Seattle Pain and Wellness Institute | Clinic/Center | 4701 41st Ave., Sw, Suite 120, Seattle, WA 98116 | 2013-01-23 |
| 1851637953 | Chrissandra Ann Snider | Massage Therapist | 3258 California Ave Sw Ste D, Seattle, WA 98116 | 2012-12-17 |
| 1528302908 | Samara K Hoag | Registered Nurse | 3429 - 45th Ave Sw, Madison Middle School, Seattle, WA 98116 | 2012-11-26 |
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| 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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|---|---|---|---|---|
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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.