EASTSIDE PATHOLOGY INC PS


Address: 1280 116th Ave Ne, Suite 100, Bellevue, WA 98004-3803
Phone: 4256460922

EASTSIDE PATHOLOGY INC PS (NPI# 1013184621) 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) 1013184621
Entity Type Organization
Organization Name EASTSIDE PATHOLOGY INC PS
Practice Address 1280 116th Ave Ne
Suite 100
Bellevue
WA 98004-3803
Mailing Address Po Box 100559
Florence
SC 29502-0559
Practice Telephone 4256460922
Practice Fax Number 4256460925
Mailing Telephone 8436644300
Mailing Fax Number 8436644308
Enumeration Date 2008-05-13
Last Update Date 2008-06-06
Authorized Official Name DR. BRENT D BENJAMIN (PRESIDENT)
Authorized Official Telephone 4256460922
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207ZC0500X Pathology
Specialization: Cytopathology
WA Allopathic & Osteopathic Physicians
N 207ZD0900X Pathology
Specialization: Dermatopathology
WA Allopathic & Osteopathic Physicians
N 207ZH0000X Pathology
Specialization: Hematology
WA Allopathic & Osteopathic Physicians
N 207ZP0102X Pathology
Specialization: Anatomic Pathology & Clinical Pathology
WA Allopathic & Osteopathic Physicians
Y 291U00000X Clinical Medical Laboratory WA Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
WA 7045651 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609830900 Eastside Pathology Inc Ps Pathology 1035 116th Ave Ne, Bellevue, WA 98004-4604 2006-04-13

Office Location

Street Address 1280 116TH AVE NE
SUITE 100
City BELLEVUE
State WA
Zip Code 98004-3803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790750594 Ira Steven Allen Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-02-23
1659328813 Hongxiu Ji Specialist 1280 116th Ave Ne, Bellevue, WA 98004-3803 2006-05-30
1982668364 Lennart Cu Tan Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-04-13
1568426955 Lisa Veva Thomassen Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-04-13
1396709788 Veronica Thoroughgood Pathology 1280 116th Ave Ne, Suite210, Bellevue, WA 98004-3803 2006-04-13
1386611390 David William Shneidman Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-03-08
1003883455 David Denton Nordin Pathology 1280 116th Ave Ne, Ste. 210, Bellevue, WA 98004-3803 2006-03-03
1104893569 Stephen John Sarewitz Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-03-03
1063489920 Jon Dennis Conklin Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-03-01
1780650622 Brent Benjamin Pathology 1280 116th Ave Ne, Suite 210, Bellevue, WA 98004-3803 2006-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306458328 Geneva Paula Hoskins-dorsey Nurse Practitioner 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 2020-08-20
1720553613 Christine Eyler Pediatrics Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 2018-10-08
1437634730 Hazelden Betty Ford Foundation Clinic/Center 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 2018-10-02
1356827828 Seattle Spine Group, Pllc Orthopaedic Surgery 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 2018-07-17
1669989216 Atsuko Nakajima Acupuncturist 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 2018-01-04
1740794718 Radka Chapin Counseling, LLC Clinic/Center 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 2017-11-28
1962912105 Cuyler Ann Simmons Counselor 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 2017-10-02
1639690357 Nicolas Lopez-montalvo Behavioral Analyst 3003 Northup Way Suite 200, Bellevue, WA 98004 2017-07-03
1124579537 Matthew Thomas Haley Pharmacist 107 Bellevue Way, Se, Bellevue, WA 98004 2016-10-20
1649727348 Kelsey Tanaka Nurse Practitioner 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 2016-09-10
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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
1417263591 Statewide Medicalequipment, Inc Clinical Medical Laboratory 7511 S 36th St, Ste 6, Bellevue, NE 68147-1244 2010-08-26
1497082879 Pathology Associates Medical Laboratories, LLC Clinical Medical Laboratory 1000 124th Ave Ne Ste 101, Bellevue, WA 98005-2502 2009-11-05
1285677484 Laboratory Corporation of America Clinical Medical Laboratory 3080 148th Avenue Se #115, Bellevue, WA 98007 2006-06-14
1740260421 Health Ventures of Southern Illonois LLC Clinical Medical Laboratory 4000 N Illinois, Tri-lab LLC @ St Elizabeth's Medical Arts Build, Bellevue, IL 62226-1998 2006-01-19
1205813177 Dynacare Northwest, Inc Clinical Medical Laboratory 12917 Se 38th St, Suite 100, Bellevue, WA 98006-1349 2005-12-30
1871589721 Statewide Medical Equipment, Inc Clinical Medical Laboratory 7511 South 36 Street, Suites 6 & 7, Bellevue, NE 68147-1244 2005-09-26
1538662663 Ideal Option, Pllc Clinical Medical Laboratory 1215 120th Ave Ne Ste 201, Bellevue, WA 98005-2135 2018-03-15
1720441801 Laboratory Corporation of America Clinical Medical Laboratory 12917 Se 38th St, Suite 100, Bellevue, WA 98006-1349 2016-04-05
1407231483 Altius Diagnostics Laboratory LLC Clinical Medical Laboratory 12100 Northup Way, Suite A, Bellevue, WA 98005-1920 2015-07-20
1174942957 Ascendant Laboratories LLC Clinical Medical Laboratory 2800 Northup Way Ste 100, Bellevue, WA 98004-1440 2014-04-09
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City BELLEVUE
Zip Code 98004

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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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