BLACKFLY INVESTMENTS LLC (NPI# 1790021517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790021517 |
| Entity Type | Organization |
| Organization Name | BLACKFLY INVESTMENTS LLC |
| Other Organization Name | MOLECULAR TESTING LABS |
| Practice Address |
14401 Se 1st St Vancouver WA 98684-3503 |
| Practice Telephone | 8556855227 |
| Mailing Telephone | 8556855227 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2019-08-09 |
| Authorized Official Name | RENE NICOLE HURST-WALL (CONTRACTING MANAGER) |
| Authorized Official Telephone | 3602080758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 50D2050397 | WA | Laboratories |
| Other Name | Type Code |
|---|---|
| Molecular Testing Labs | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | BLACKFLY INVESTMENTS LLC | 14401 Se 1st St, Vancouver, Washington 98684 |
| Street Address |
14401 SE 1ST ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98684-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174987309 | Sirona Dx Inc. | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2016-04-13 |
| 1164881702 | Cureseq Inc. | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285291849 | Pacifica Sylvan Park LLC | Alzheimer Center (Dementia Center) | 2400 Ne 112th Avenue, Vancouver, WA 98684 | 2019-05-20 |
| 1699242826 | Heidi Ericka Jackson | Registered Nurse | 15606 Ne 12th Way, Vancouver, WA 98684 | 2018-10-25 |
| 1477076727 | Brian Benasa Bardeloza | Dentist | 605 Se 164th Ave Ste 103, Vancouver, WA 98684 | 2017-07-19 |
| 1992226062 | Judith Moreno-castro | Massage Therapist | 2501 Ne 138th Ave., #60, Vancouver, WA 98684 | 2017-06-29 |
| 1346790706 | Samuel Joonsang Lee | Registered Nurse | 501 Se 172nd Ave Ste 210, Vancouver, WA 98684 | 2016-10-10 |
| 1912353178 | Cheryl A. Hamilton-jefferson | Counselor | 11818 Se Mill Plain Blvd Ste 311g, Vancouver, WA 98684 | 2016-05-06 |
| 1063866424 | Kim Forgione | Optometrist | 1900 Ne 162nd Ave Ste D103, Vancouver, WA 98684 | 2016-04-21 |
| 1700254257 | Desiree Haggart | Registered Nurse | 406 Se 131st St., Suite A101, Vancouver, WA 98684 | 2015-09-14 |
| 1215318068 | Paige M. King | Behavioral Analyst | 11818 Se Mill Plain Blvd Ste 203, Vancouver, WA 98684 | 2015-06-17 |
| 1417354366 | Amanda Hilkey, Lmp | Massage Therapist | 108 Se 24th Ave, Ste 9, Vancouver, WA 98684 | 2014-11-20 |
| Find all providers in zip 98684 | ||||
| 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 |
|---|---|---|---|---|
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1164710893 | Labtran Clinical Laboratories, LLC | Clinical Medical Laboratory | 2404 E Mill Plain Blvd Ste B, Vancouver, WA 98661-4334 | 2011-07-15 |
| 1174987309 | Sirona Dx Inc. | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2016-04-13 |
| 1164881702 | Cureseq Inc. | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2016-02-10 |
| 1548506587 | Northwest Cancer Specialists, PC | Clinical Medical Laboratory | 1498 Se Tech Center Pl, Suite 390, Vancouver, WA 98683-9591 | 2012-12-19 |
| 1205080272 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2008-11-04 |
| 1568616530 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2008-11-04 |
| 1861646838 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2008-11-04 |
| 1750535720 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2008-11-04 |
| 1174772313 | Rayme Elizondo | Clinical Medical Laboratory | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2008-09-11 |
| Find all providers in VANCOUVER | ||||
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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.