WESTERN WASHINGTON MEDICAL GROUP, INC PS (NPI# 1629024740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629024740 |
| Entity Type | Organization |
| Organization Name | WESTERN WASHINGTON MEDICAL GROUP, INC PS |
| Other Organization Name | WESTERN WASHINGTON MEDICAL GROUP DEPARTMENT OF LABORATORY SERVICES |
| Practice Address |
4301 Hoyt Ave Suite B Everett WA 98203-2316 |
| Mailing Address |
1728 W Marine View Dr Suite 111 Everett WA 98201-2094 |
| Practice Telephone | 4252579997 |
| Mailing Telephone | 4257404177 |
| Mailing Fax Number | 4252526642 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2016-02-23 |
| Authorized Official Name | VICKI M MCGINNIS (PRIVACY OFFICER) |
| Authorized Official Telephone | 4252594041 |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERN WASHINGTON MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7124795 | 05 | |
| WA | LABOR AND INDUSTRY | 0188172 | 01 |
| RR MEDICARE | P00162700 | 01 |
| Other Name | Type Code |
|---|---|
| Western Washington Medical Group Department of Laboratory Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023236528 | Western Washington Medical Group, Inc Ps | Internal Medicine | 4225 Hoyt Ave Ste A, Everett, WA 98203-2351 | 2007-04-23 |
| 1649498049 | Western Washington Medical Group, Inc Ps | Family Medicine | 4225 Hoyt Ave Ste B, Everett, WA 98203-2351 | 2007-04-23 |
| 1932327335 | Western Washington Medical Group, Inc Ps | Podiatrist | 3202 Colby Ave Ste E, Everett, WA 98201-4324 | 2007-04-23 |
| 1326266727 | Western Washington Medical Group, Inc Ps | Psychologist | 3525 Colby Ave Ste 200, Everett, WA 98201-4782 | 2007-04-23 |
| 1538387931 | Western Washington Medical Group, Inc Ps | Urology | 4310 Colby Ave Ste 203, Everett, WA 98203-2338 | 2007-04-23 |
| 1093933491 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 330, Everett, WA 98201 | 2007-04-23 |
| 1417175811 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1330 Rockefeller Ave Ste 450, Everett, WA 98201-1677 | 2007-04-23 |
| 1831238443 | Western Washington Medical Group, Inc Ps | Spec/Tech, Pathology | 6825 216th St Sw Ste E, Lynnwood, WA 98036-7379 | 2007-02-06 |
| 1003809229 | Western Washington Medical Group, Inc Ps | Clinic/Center | 3501 Shelby Rd, Suite B, Lynnwood, WA 98087-3599 | 2005-08-23 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| Street Address |
4301 HOYT AVE SUITE B |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902852569 | David O Lindstrom | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203-2316 | 2006-05-25 |
| 1467600262 | Rajka Milanovic Galbraith | Family Medicine | 4301 Hoyt Ave, Western Washington Medical Group, Everett, WA 98203-2316 | 2008-09-04 |
| 1902997638 | Albert F.m. Yuen | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203-2316 | 2006-09-27 |
| 1801831896 | Steven A Grant | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203 | 2006-06-17 |
| 1356382949 | Frederick J Kimball | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203-2316 | 2006-06-08 |
| 1780623397 | Bruce E Main | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203-2316 | 2006-06-06 |
| 1841239456 | Thomas F Giesecke | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203-2316 | 2006-06-06 |
| 1407803026 | Victoria R Stocker | Family Medicine | 4301 Hoyt Ave, Everett, WA 98203-2316 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| 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 |
|---|---|---|---|---|
| 1194263772 | Zoey Laboratory Services LLC | Clinical Medical Laboratory | 11611 Airport Rd Ste 101, Everett, WA 98204-3782 | 2017-02-03 |
| 1780135368 | Pain Care Physicians Pllc | Clinical Medical Laboratory | 11611 Airport Rd Ste 102, Everett, WA 98204-3782 | 2016-10-19 |
| 1326347659 | Laboratory Corporation of America | Clinical Medical Laboratory | 13020 Meridian Ave S Fl 2, Everett, WA 98208-6422 | 2011-03-25 |
| 1437620499 | Laboratory Corporation of America | Clinical Medical Laboratory | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2018-12-16 |
| 1598118226 | Laboratory Corporation of America | Clinical Medical Laboratory | 3726 Broadway, Suite 202, Everett, WA 98201-3787 | 2016-07-18 |
| 1114354131 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2013-10-04 |
| 1801049127 | Providence Health & Services-wa | Clinical Medical Laboratory | 1321 Colby Ave, Everett, WA 98201-1665 | 2008-10-30 |
| 1538377957 | Providence Everett Medical Center | Clinical Medical Laboratory | 1321 Colby Ave, Everett, WA 98201-1665 | 2007-05-18 |
| 1518019603 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 1717 13th St, Everett, WA 98201-1621 | 2007-01-17 |
| 1457403719 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 1818 121st St Se, Everett, WA 98208-5985 | 2007-01-17 |
| Find all providers in EVERETT | ||||
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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.