PHYSICIANS CLINIC OF SPOKANE


Address: 820 S. Mcclellan #ll10, Spokane, WA 99204
Phone: 5093533973

PHYSICIANS CLINIC OF SPOKANE (NPI# 1003827593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003827593
Entity Type Organization
Organization Name PHYSICIANS CLINIC OF SPOKANE
Other Organization Name PCOS INDEPENDENT LAB
Practice Address 820 S. Mcclellan #ll10
Spokane
WA 99204
Practice Telephone 5093533973
Practice Fax Number 5098388275
Mailing Telephone 5093533973
Mailing Fax Number 5098388275
Enumeration Date 2006-08-10
Last Update Date 2020-08-22
Authorized Official Name JEFFREY B. COLLINS (CEO)
Authorized Official Telephone 5093533973
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory L0620049 WA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
WA 7102148 05
WA L&I 137415 01

Other Provider/Organization Names

Other Name Type Code
PCOS Independent Lab Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235159534 Physicians Clinic of Spokane Radiology 820 S Mcclellan St, #ll10, Spokane, WA 99204-2457 2006-07-20

Office Location

Street Address 820 S. MCCLELLAN #LL10
City SPOKANE
State WA
Zip Code 99204

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982250957 Megan Elizabeth Dibenedetto Pharmacist 105 West 8th Avenue, 350e, Spokane, WA 99204 2019-08-14
1619521168 Evelyn R Cabon Genetic Counselor, MS 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 2019-08-01
1346700655 Christina Rose Student in an Organized Health Care Education/Training Program 120 W. 8th Avenue, Spokane, WA 99204 2019-03-22
1508339862 Cody J French Physical Therapist Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 2019-01-09
1730655598 Washington Outpatient Rehabilitation, LLC Physical Therapist 507 S. Washington St., Suite 10, Spokane, WA 99204 2018-10-19
1013405547 Joel James Hayden Student in an Organized Health Care Education/Training Program Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 2018-04-30
1144694787 Brooksjohnsonpllc Dentist 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 2015-11-19
1497184196 Kathalene M Cassels Physician Assistant 810 W. 5th Ave. Ste 510, Spokane, WA 99204 2013-11-04
1174880454 Kelly E Wurzel Psychiatry & Neurology 624 E. Front Ave, Spokane, WA 99204 2012-04-11
1003190331 Katie L Gomez Nurse Practitioner 805 W. 5th Ave, Suite 518, Spokane, WA 99204 2011-10-05
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
1740248848 Signature Genomic Laboratories, LLC Clinical Medical Laboratory 2820 N Astor St, Spokane, WA 99207-2112 2006-05-01
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City SPOKANE
Zip Code 99204

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Dataset Information

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.

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