DYNACARE NORTHWEST (NPI# 1710022314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710022314 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST |
| Practice Address |
601 S Carr Rd Suite 110 Renton WA 98055-5866 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 4254302817 |
| Mailing Telephone | 8002227566 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM B HAYES (CFO EVP TREASURER) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518144294 | Dynacare Northwest | Clinical Medical Laboratory | 2980 Squalicum Pkwy, Suite 201, Bellingham, WA 98225-1880 | 2008-01-25 |
| 1215072814 | Dynacare Northwest | Clinical Medical Laboratory | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2007-02-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DYNACARE NORTHWEST INC. | 531 S Spring St, Burlington, NC 27215-5866 |
| Street Address |
601 S CARR RD SUITE 110 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295732113 | Sonja Maddox | Family Medicine | 601 S Carr Rd, Suite 100, Renton, WA 98055-5866 | 2005-07-07 |
| 1558768739 | Wong Hsu On Su & Liao Dds Pllc | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2014-12-03 |
| 1073860854 | Michael C Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2012-08-10 |
| 1215206586 | Laboratory Corporation of America | Clinical Medical Laboratory | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-12-15 |
| 1144519539 | Maureen Burns | Physical Therapy Assistant | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-04-06 |
| 1073821286 | Benjamin Reed Johnson | Dentist | 601 S Carr Rd, Suite 300, Renton, WA 98055-5866 | 2010-09-22 |
| 1033232095 | Arkadiy B. Tkachev | Family Medicine | 601 S Carr Rd, Suite 100, Renton, WA 98055-5866 | 2007-04-06 |
| 1912065889 | David Laverne Burkebile | Pediatrics | 601 S Carr Rd, Suite 420, Renton, WA 98055-5866 | 2006-12-04 |
| 1598830010 | Stuart Allen Vendeland | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2006-11-21 |
| 1316036502 | Lan Alice Chen | Dentist | 601 S Carr Rd, Suite 400, Renton, WA 98055-5866 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| 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 |
|---|---|---|---|---|
| 1295057230 | Natural Molecular Testing Corporation | Clinical Medical Laboratory | 223 Sw 41st St, Unit#5, Renton, WA 98057 | 2010-02-18 |
| 1033441415 | Joel M Durias | Clinical Medical Laboratory | 95 S Tobin St, # 205, Renton, WA 98057-5324 | 2010-02-09 |
| 1932383304 | City Sleep Lab LLC | Clinical Medical Laboratory | 95 S Tobin St Ste 25, Renton, WA 98057-5324 | 2007-12-20 |
| 1548319171 | Southlake Clinic Inc Ps | Clinical Medical Laboratory | 3915 Talbot Road South, Suite 300, Renton, WA 98055 | 2007-01-10 |
| 1114266616 | Laboratory Corporation of America | Clinical Medical Laboratory | 900 Sw 16th St, Suite 100, Renton, WA 98057-2631 | 2013-02-05 |
| 1215206586 | Laboratory Corporation of America | Clinical Medical Laboratory | 601 S Carr Rd, Renton, WA 98055-5866 | 2011-12-15 |
| 1871800029 | Laboratory Corporation of America | Clinical Medical Laboratory | 920 N 1st St, Renton, WA 98057-5759 | 2010-09-09 |
| 1295960011 | Valley Laboratory Services-renton | Clinical Medical Laboratory | 400 S 43rd St, Renton, WA 98055-5714 | 2009-05-22 |
| 1285805119 | Kaiser Foundation Health Plan of Washington | Clinical Medical Laboratory | 2921 Naches Ave Sw, Gse-b2e-01, Renton, WA 98057-2617 | 2008-03-19 |
| 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 |
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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.