LAZARUS 3D, INC. (NPI# 1669089223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669089223 |
| Entity Type | Organization |
| Organization Name | LAZARUS 3D, INC. |
| Practice Address |
3513 Nw Mink Pl Corvallis OR 97330-3729 |
| Practice Telephone | 5417601805 |
| Mailing Telephone | 5417601805 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | DR. JACQUES ZANEVELD (FOUNDER AND CEO) |
| Authorized Official Telephone | 5417601805 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAZARUS 3D, INC. | 7523 South Fwy, Houston, TX 77021 |
| Street Address |
3513 NW MINK PL |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1679537252 | Willamette Valley Clinics LLC | Clinic/Center | 232 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-04-12 |
| 1720417710 | St. Charles Health System, Inc. | Clinic/Center | 630 N Arrowleaf Trl, Sisters, OR 97759-2610 | 2013-11-11 |
| 1952730871 | Mid Rogue Imaging Center | Clinic/Center | 1619 Nw Hawthorne Ave Ste 102, Grants Pass, OR 97526-6008 | 2013-11-01 |
| 1114362126 | Womens Imaging and Intervention, LLC | Clinic/Center | 17050 Pilkington Rd, Suite 130, Lake Oswego, OR 97035-6306 | 2013-05-03 |
| 1780813741 | Motion Orthopedics, P.C. | Clinic/Center | 1122 W Elm Ave, Hermiston, OR 97838-6933 | 2009-07-10 |
| 1043456643 | Medical Imaging Group, LLC | Clinic/Center | 18040 Sw Lower Boones Ferry Road, Tigard, OR 97224 | 2009-01-02 |
| 1174770127 | Northwest Ct Images LLC | Clinic/Center | 2831 Sw Cornelius Pass Rd, Suite 100, Hillsboro, OR 97123 | 2008-08-21 |
| 1598952699 | Head & Neck Imaging Northwest, LLC | Clinic/Center | 4035 12th St Cut Off Se, Suite 140, Salem, OR 97302-1764 | 2007-10-02 |
| 1992854947 | Pjs, LLC | Clinic/Center | 12725 Sw Millikan Way, Suite 300, Beaverton, OR 97005-1678 | 2007-01-09 |
| 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.