CENTRAL OREGON REGIONAL PATHOLOGY SERVICES, LLC (NPI# 1649392366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649392366 |
| Entity Type | Organization |
| Organization Name | CENTRAL OREGON REGIONAL PATHOLOGY SERVICES, LLC |
| Practice Address |
1348 Ne Cushing Dr Suite 210 Bend OR 97701-3876 |
| Practice Telephone | 5413827696 |
| Practice Fax Number | 5413895723 |
| Mailing Telephone | 5413827696 |
| Mailing Fax Number | 5413895723 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | DR. CHERYL YOUNGER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5413827696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246QC2700X |
Spec/Tech, Pathology Specialization: Cytotechnology |
38D0656805 | OR | Technologists, Technicians & Other Technical Service Providers |
| N | 246QH0600X |
Spec/Tech, Pathology Specialization: Histology |
38D0656805 | OR | Technologists, Technicians & Other Technical Service Providers |
| N | 246R00000X | Technician, Pathology | 38D0656805 | OR | Technologists, Technicians & Other Technical Service Providers |
| Y | 291U00000X | Clinical Medical Laboratory | 38D0656805 | OR | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | CLIA | 38D0656805 | 01 |
| OR | STATE LAB LICENSE NUMBER | 346 | 01 |
| OR | 227834 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CENTRAL OREGON REGIONAL PATHOLOGY SERVICES, LLC | 1348 Ne Cushing Dr, Bend, OR 97701 |
| Street Address |
1348 NE CUSHING DR SUITE 210 |
| City | BEND |
| State | OR |
| Zip Code | 97701-3876 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023092152 | Laurel B. Yocom | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2005-12-01 |
| 1699949222 | Irene Czyszczon | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2008-04-15 |
| 1124140926 | Central Oregon Pathology Consultants, PC | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2007-04-04 |
| 1619014388 | Brigitte Kate Nixon | Pathology | 1348 Ne Cushing Dr, Ste. 200, Bend, OR 97701-3876 | 2007-01-31 |
| 1174678544 | James Lewis Judd | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2007-01-24 |
| 1275685836 | Brian K. Stewart | Pathology | 1348 Ne Cushing Dr, Suite 200, Bend, OR 97701-3876 | 2007-01-16 |
| 1174673040 | Joseph Alton Hughes | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2007-01-11 |
| 1689658783 | Cheryl Younger | Pathology | 1348 Ne Cushing Dr, Bend, OR 97701-3876 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| 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 |
|---|---|---|---|---|
| 1972144913 | Bend Memorial Clinic PC | Clinical Medical Laboratory | 1501 Ne Medical Center Dr, Bend, OR 97701-6051 | 2019-10-01 |
| 1104217744 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2090 Ne Wyatt Ct, Ste 201, Bend, OR 97701-7687 | 2015-02-17 |
| 1972909489 | Central Oregon Mobile Phlebotomy Services, LLC | Clinical Medical Laboratory | 1420 Ne Mable Ct, Bend, OR 97701-3722 | 2014-11-11 |
| 1548412224 | Bend Dermatology Clinic LLC | Clinical Medical Laboratory | 2705 Ne Conners Ave, Bend, OR 97701-6904 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881483 | True Diagnostics | Clinical Medical Laboratory | 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 | 2020-08-14 |
| 1497363543 | Laboratory Corporation of America | Clinical Medical Laboratory | 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 | 2020-07-15 |
| 1245881721 | Laboratory Corporation of America | Clinical Medical Laboratory | 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 | 2019-09-25 |
| 1215594270 | Emerald National Laboratory LLC | Clinical Medical Laboratory | 1710 Willow Creek Cir Ste 174, Eugene, OR 97402-9192 | 2019-05-24 |
| 1568927903 | Alerra, LLC | Clinical Medical Laboratory | 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 | 2019-02-08 |
| 1831664515 | A Worksafe Service, Inc. | Clinical Medical Laboratory | 1696 Capitol St Ne, Salem, OR 97301-7855 | 2018-10-09 |
| 1568980555 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 217 Division Ave Ste A, Eugene, OR 97404-5429 | 2017-08-30 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1255703245 | Guidant Toxicology LLC | Clinical Medical Laboratory | 3329 Wintercreek Ct, Eugene, OR 97405-6238 | 2015-10-29 |
| 1275905473 | Precision Laboratories LLC | Clinical Medical Laboratory | 1720 Willow Creek Cir, Suite 525 B, Eugene, OR 97402-9171 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
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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.