DYNACARE NORTHWEST, INC (NPI# 1851379515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851379515 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST, INC |
| Practice Address |
22707 Se 29th St Bldg C Sammamish WA 98075-9532 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 4254552845 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-11-04 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VP) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CLIA | 50D1022190 | 01 |
| WA | 7126865 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942504402 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 1101 Madison St Ste 510, Seattle, WA 98104-3557 | 2010-12-27 |
| 1649426883 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 275 Se Cabot Dr Ste B202, Oak Harbor, WA 98277-3755 | 2008-08-07 |
| 1902883861 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 2450 33rd Ave W, Suite 100, Seattle, WA 98199-3252 | 2005-12-30 |
| 1205813177 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 12917 Se 38th St, Suite 100, Bellevue, WA 98006-1349 | 2005-12-30 |
| 1609853597 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 5350 Tallman Ave Nw, Suite 310, Seattle, WA 98107-5902 | 2005-12-30 |
| 1275510281 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 7210 Roosevelt Way Ne, Seattle, WA 98115-5600 | 2005-12-30 |
| 1396722260 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Suite 300, Seattle, WA 98116-3358 | 2005-12-30 |
| 1114200425 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 751 Ne Blakely Dr, Flr G, Issaquah, WA 98029-6201 | 2011-09-22 |
| 1982907630 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 18100 Ne Union Hill Rd, Redmond, WA 98052-3330 | 2010-12-17 |
| 1477530483 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 550 17th Ave, Suite 310, Seattle, WA 98122 | 2005-12-30 |
| Street Address |
22707 SE 29TH ST BLDG C |
| City | SAMMAMISH |
| State | WA |
| Zip Code | 98075-9532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134772148 | Kayleen M Jones | Registered Nurse | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2019-07-18 |
| 1700249885 | Laboratory Corporation of America | Clinical Medical Laboratory | 22707 Se 29th St, Building C, Sammamish, WA 98075-9532 | 2016-04-05 |
| 1871901546 | Wenjia Song | Registered Nurse | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2014-07-25 |
| 1861648487 | Li Wang | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2008-08-14 |
| 1497803936 | Darshana Dudgikar | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2007-01-08 |
| 1619039401 | Carolyn C Liu | Internal Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1932261682 | David Y Pong | Internal Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1225190978 | Seth P Fader | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-15 |
| 1114088713 | Jeannie Chia Hui Chang | Family Medicine | 22707 Se 29th St, Sammamish, WA 98075-9532 | 2006-12-13 |
| 1881767507 | Fengxia Qiao | Family Medicine | 22707 Se 29th St, Ste F, Sammamish, WA 98075-9532 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639717 | Atsugi LLC | Skilled Nursing Facility | 23815 Se 28th St, Sammamish, WA 98075 | 2019-10-02 |
| 1184135808 | Alliance Healthcare Technolgies | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1781 267th Ct Se, Sammamish, WA 98075 | 2017-10-20 |
| 1508395013 | Ameeta M Desai | Physical Therapist | 24204 Se 14th Ct, Sammamish, WA 98075 | 2017-06-08 |
| 1013119494 | Betty Jane Hartwell | Massage Therapist | 3310d E Lk Sammamish Pkwy Se, Sammamish, WA 98075 | 2007-06-05 |
| 1699860908 | Andrea Lynn Hutton | Physical Therapist | 21018 Se 24th St, Sammamish, WA 98075 | 2006-10-03 |
| 1558752170 | Mollie Marie Sharp | Registered Nurse | 22717 Se 29th St Ste D-101, Sammamish, WA 98075 | 2015-02-18 |
| 1720209810 | Amy L Tait | Physical Therapist | 22739 Se 29th St, Sammamish, WA 98075 | 2007-05-02 |
| 1790133791 | Maria Faires | Dietitian, Registered | 2841 275th Ave Se, Sammamish, WA 98075-4214 | 2016-05-31 |
| 1578935714 | Ariel Folsom Hubbard | Massage Therapist | 4425 Issaquah Pine Lake Rd Se Apt Y14, Sammamish, WA 98075-5201 | 2015-10-27 |
| 1740611532 | Kei Kinoshita | Massage Therapist | 4323 Issaquah Pine Lake Rd Se, Unit 503, Sammamish, WA 98075-5266 | 2013-12-05 |
| Find all providers in zip 98075 | ||||
| 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 |
|---|---|---|---|---|
| 1700249885 | Laboratory Corporation of America | Clinical Medical Laboratory | 22707 Se 29th St, Building C, Sammamish, WA 98075-9532 | 2016-04-05 |
| 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.