DYNACARE NORTHWEST INC (NPI# 1023324217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023324217 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST INC |
| Practice Address |
1909 214th St Se Ste 300 Bothell WA 98021-4412 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 4254126341 |
| Mailing Telephone | 8002227566 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2013-11-26 |
| Authorized Official Name | KIMBERLY 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 |
|---|---|---|---|
| CLIA | 50D2006310 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487810222 | Dynacare Northwest Inc | Clinical Medical Laboratory | 2005 Nw Sammamish Rd Bldg B, Issaquah, WA 98027-8940 | 2008-07-31 |
| 1801051040 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1730 Minor Ave Ste 100, Seattle, WA 98101-1498 | 2008-07-28 |
| 1972768117 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1780 Nw Myhre Rd Ste 1240, Silverdale, WA 98383-8676 | 2008-07-28 |
| 1699810291 | Dynacare Northwest Inc | Clinical Medical Laboratory | 747 Broadway B Floor, Seattle, WA 98122-4379 | 2007-02-21 |
| 1124344361 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1536 N 115th St, Ste 200, Seattle, WA 98133-8400 | 2010-04-13 |
| 1124351143 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1101 Madison St, Ste 301, Seattle, WA 98104-3599 | 2009-09-09 |
| 1508199597 | Dynacare Northwest Inc | Clinical Medical Laboratory | 3400 California Ave Sw, Ste 300, Seattle, WA 98116-3307 | 2009-09-09 |
| 1043543036 | Dynacare Northwest Inc | Clinical Medical Laboratory | 550 16th Ave, Ste 100, Seattle, WA 98122-5636 | 2009-09-09 |
| 1275766552 | Dynacare Northwest Inc | Clinical Medical Laboratory | 2700 Northup Way, Bellevue, WA 98004-1463 | 2009-09-02 |
| 1548493810 | Dynacare Northwest Inc | Clinical Medical Laboratory | 13333 Bel Red Rd, Ste 100, Bellevue, WA 98005-2332 | 2009-09-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DYNACARE NORTHWEST INC. | 531 S Spring St, Burlington, NC 27215-5866 |
| Street Address |
1909 214TH ST SE STE 300 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353290 | James David Brown | Internal Medicine | 1909 214th St Se, Suite 110, Bothell, WA 98021-4412 | 2005-11-18 |
| 1740729920 | Gerald Ralph Johnson | Pharmacist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2017-02-21 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1588098115 | Daniella Rose Cannone | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-30 |
| 1043643885 | Lauren B Jentges | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-15 |
| 1649535642 | Western Washington Medical Group Inc Ps | Dietitian, Registered | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2012-07-06 |
| 1518225416 | Ada Otter | Nurse Practitioner | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2012-04-27 |
| 1417226788 | Laboratory Corporation of America | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2011-12-15 |
| 1760765598 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Bothell, WA 98021-4412 | 2011-09-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| 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 |
|---|---|---|---|---|
| 1770006330 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 18505 Bothell Way Ne Ste 215, Bothell, WA 98011-3717 | 2017-07-25 |
| 1417226788 | Laboratory Corporation of America | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2011-12-15 |
| 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.