WILLAMETTE VALLEY TOXICOLOGY (NPI# 1053652594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053652594 |
Entity Type | Organization |
Organization Name | WILLAMETTE VALLEY TOXICOLOGY |
Practice Address |
545 Sw 2nd St Suite 201 Corvallis OR 97333-4466 |
Practice Telephone | 5417604775 |
Mailing Telephone | 5417604775 |
Enumeration Date | 2013-03-07 |
Last Update Date | 2016-11-16 |
Authorized Official Name | MR. MANNY CRUZ (OWNER) |
Authorized Official Telephone | 5417604775 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | WILLAMETTE VALLEY TOXICOLOGY LLC | 545 Sw 2nd Street Ste 201, Corvallis, OR 97333 |
Street Address |
545 SW 2ND ST SUITE 201 |
City | CORVALLIS |
State | OR |
Zip Code | 97333-4466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740668649 | Corvallis Medical Group, LLC | Pain Medicine | 545 Sw 2nd St, Suite 200, Corvallis, OR 97333-4466 | 2015-05-11 |
1164829412 | Nw Surgical Center | Clinic/Center | 545 Sw 2nd St, Corvallis, OR 97333-4466 | 2014-12-02 |
1891191672 | Jarod Smith | Nurse Practitioner | 545 Sw 2nd St, Suite 200, Corvallis, OR 97333-4466 | 2014-11-06 |
1801210802 | Nw Surgical Center LLC | Clinic/Center | 545 Sw 2nd St, Corvallis, OR 97333-4466 | 2014-02-11 |
1053744524 | Christopher Jason Smith | Pain Medicine | 545 Sw 2nd St, Ste 200, Corvallis, OR 97333-4466 | 2013-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
Find all providers in zip 97333 |
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 |
---|---|---|---|---|
1659888097 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2400 Nw Kings Blvd, Corvallis, OR 97330-3900 | 2018-01-08 |
1568882454 | Ous Oregon State University | Clinical Medical Laboratory | 108 Sw Memorial Pl, Osu Student Health Services Laboratory, Corvallis, OR 97331-8667 | 2014-04-18 |
1023336914 | Sleep Management Group, LLC | Clinical Medical Laboratory | 2310 Nw Kings Blvd, Corvallis, OR 97330-3925 | 2010-05-17 |
1982933701 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1128 Ne 2nd St, Suite 3101, Corvallis, OR 97330-6230 | 2009-12-08 |
1831348671 | The Corvallis Clinic PC | Clinical Medical Laboratory | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2008-09-17 |
1699921296 | Corvallis Clinic PC | Clinical Medical Laboratory | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2008-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649881483 | True Diagnostics | Clinical Medical Laboratory | 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 | 2020-08-14 |
1497363543 | Laboratory Corporation of America | Clinical Medical Laboratory | 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 | 2020-07-15 |
1245881721 | Laboratory Corporation of America | Clinical Medical Laboratory | 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 | 2019-09-25 |
1215594270 | Emerald National Laboratory LLC | Clinical Medical Laboratory | 1710 Willow Creek Cir Ste 174, Eugene, OR 97402-9192 | 2019-05-24 |
1568927903 | Alerra, LLC | Clinical Medical Laboratory | 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 | 2019-02-08 |
1831664515 | A Worksafe Service, Inc. | Clinical Medical Laboratory | 1696 Capitol St Ne, Salem, OR 97301-7855 | 2018-10-09 |
1568980555 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 217 Division Ave Ste A, Eugene, OR 97404-5429 | 2017-08-30 |
1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
1255703245 | Guidant Toxicology LLC | Clinical Medical Laboratory | 3329 Wintercreek Ct, Eugene, OR 97405-6238 | 2015-10-29 |
1275905473 | Precision Laboratories LLC | Clinical Medical Laboratory | 1720 Willow Creek Cir, Suite 525 B, Eugene, OR 97402-9171 | 2015-10-27 |
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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.