SIGNATURE GENOMIC LABORATORIES, LLC (NPI# 1740248848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740248848 |
| Entity Type | Organization |
| Organization Name | SIGNATURE GENOMIC LABORATORIES, LLC |
| Practice Address |
2820 N Astor St Spokane WA 99207-2112 |
| Mailing Address |
Po Box 4474 Spokane WA 99220-0474 |
| Practice Telephone | 5094746840 |
| Practice Fax Number | 5094746839 |
| Mailing Telephone | 5094746840 |
| Mailing Fax Number | 5094746839 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2009-05-29 |
| Authorized Official Name | DR. BASSEM BEJJANI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5094746840 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | MTS4427 | WA | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Signature Genomic Laboratories, LLC | 940 Winter Street, Waltham, MA 02451 |
| Massachusetts Corporations | SIGNATURE GENOMIC LABORATORIES, LLC | 2820 North Astor Street, Attn: J. Pearl, Spokane, WA 99207 |
| Street Address |
2820 N ASTOR ST |
| City | SPOKANE |
| State | WA |
| Zip Code | 99207-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023569563 | Jaclyn Michele Helm | Dietitian, Registered | 2820 N Astor St, Spokane, WA 99207-2112 | 2016-10-19 |
| 1700072923 | Reliant Rx LLC | Pharmacy | 2820 N Astor St, Spokane, WA 99207-2112 | 2007-09-20 |
| 1649462474 | Julie Britt Ravnan | Medical Genetics | 2820 N Astor St, Spokane, WA 99207-2112 | 2007-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437669231 | Rebecca Althouse | Massage Therapist | 59 E. Queen Ave. Suite 104, Spokane, WA 99207 | 2017-10-05 |
| 1891142105 | Kathleen Annette Love | Counselor | 2702 N. Perry, Spokane, WA 99207 | 2016-05-17 |
| 1184094831 | Rachel Robles | Massage Therapist | 514 E. Providence Ave, Spokane, WA 99207 | 2015-10-06 |
| 1114345022 | Lindsay Urso | Physician Assistant | 4001 N. Cook St, Riverstone Family Health, Spokane, WA 99207 | 2014-03-29 |
| 1780936930 | Amber Elizabeth Riemersma | Midwife | 127 E Eculid, Spokane, WA 99207 | 2012-10-12 |
| 1376816108 | Michelle Christine Rees | Massage Therapist | 1504 E. Everett, Spokane, WA 99207 | 2012-02-09 |
| 1750658241 | Zita Lindell Nickeson | Counselor | 4407 N. Division Suite 304, Spokane, WA 99207 | 2011-11-28 |
| 1912282989 | Carolyn C Millen | Pharmacist | 12 E. Empire Ave, Spokane, WA 99207 | 2011-10-20 |
| 1316222730 | Brooke Pickering | Pharmacist | 12 E Empire, Spokane, WA 99207 | 2011-10-17 |
| 1891001277 | Providence Physician Services Co | Pediatrics | 5901 N Linderwood, Suite 126, Spokane, WA 99207 | 2010-08-24 |
| Find all providers in zip 99207 | ||||
| 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 |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1851850218 | Advantage Dx Inc | Clinical Medical Laboratory | 1801 W Broadway Ave, Spokane, WA 99201-1819 | 2019-03-15 |
| 1649767948 | Laboratory Corporation of America | Clinical Medical Laboratory | 110 W Cliff Dr Ste 100-200, Spokane, WA 99204-3614 | 2018-04-23 |
| 1154818565 | Laboratory Corporation of America | Clinical Medical Laboratory | 6120 N Mayfair St Ste 101, Spokane, WA 99208-1033 | 2018-04-20 |
| 1194110734 | Allele Diagnostics Inc. | Clinical Medical Laboratory | 120 N Pine St Ste 152, Suite 202, Spokane, WA 99202-5030 | 2015-03-31 |
| 1902141500 | Providence Health & Services Washington | Clinical Medical Laboratory | 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446 | 2012-12-07 |
| 1902131857 | Pathology Associates Medical Laboratories LLC | Clinical Medical Laboratory | 110 W Cliff Dr Ste 300-400, Spokane, WA 99204-3614 | 2009-10-09 |
| 1407948342 | Mediline Professional Services,inc | Clinical Medical Laboratory | 4407 N Division St Ste 417, Spokane, WA 99207-1613 | 2006-09-28 |
| 1659480291 | Prime Diagnostics Inc | Clinical Medical Laboratory | 7307 N Division St # 204, Spokane, WA 99208-6545 | 2006-08-29 |
| 1003827593 | Physicians Clinic of Spokane | Clinical Medical Laboratory | 820 S. Mcclellan #ll10, Spokane, WA 99204 | 2006-08-10 |
| Find all providers in SPOKANE | ||||
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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.