MEMORIAL PHYSICIANS, PLLC (NPI# 1275713778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275713778 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PHYSICIANS, PLLC |
| Other Organization Name | MEMORIAL PHYSICIANS LABORATORY |
| Practice Address |
504 N 40th Ave Yakima WA 98908-4311 |
| Mailing Address |
3800 Summitview Ave Yakima WA 98902-2715 |
| Practice Telephone | 5092483263 |
| Practice Fax Number | 5092252702 |
| Mailing Telephone | 5092495066 |
| Mailing Fax Number | 5092495042 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2014-09-03 |
| Authorized Official Name | TIMOTHY REED (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5092487849 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 50D1062355 | WA | Laboratories |
| Other Name | Type Code |
|---|---|
| Memorial Physicians Laboratory | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053883504 | Memorial Physicians, Pllc | Clinic/Center | 3003 Tieton Dr Ste 350, Yakima, WA 98902-3690 | 2018-12-21 |
| 1851716278 | Memorial Physicians, Pllc | Clinic/Center | 3904 Terrace Heights Dr, Yakima, WA 98901-1427 | 2014-02-21 |
| 1689098436 | Memorial Physicians, Pllc | Clinic/Center | 120 S 72nd Ave, Suite 102, Yakima, WA 98908-4200 | 2014-02-14 |
| 1669732954 | Memorial Physicians, Pllc | Family Medicine | 101 N 65th Ave, Harman Center At Gailleon Park, Yakima, WA 98908-3014 | 2012-05-21 |
| 1508140021 | Memorial Physicians, Pllc | Family Medicine | 2506 W Nob Hill Blvd, Yakima, WA 98902-5104 | 2011-10-03 |
| 1154602084 | Memorial Physicians, Pllc | Surgery | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2011-09-06 |
| 1558683334 | Memorial Physicians, Pllc | Clinic/Center | 3909 Creekside Loop Ste 130, Yakima, WA 98902-4880 | 2010-02-22 |
| 1114553674 | Memorial Physicians, Pllc | Clinic/Center | 1607 Creekside Loop Ste 100, Yakima, WA 98902-4882 | 2020-03-17 |
| 1558928143 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944 | 2019-05-20 |
| 1760966022 | Memorial Physicians, Pllc | Clinic/Center | 1812 E Edison Ave, Sunnyside, WA 98944-1653 | 2018-09-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEMORIAL PHYSICIANS, PLLC | 3800 Summitview, Yakima, WA 98907 |
| Street Address |
504 N 40TH AVE |
| City | YAKIMA |
| State | WA |
| Zip Code | 98908-4311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740289883 | Debra M Gould | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2005-07-20 |
| 1245687862 | Irene Varghese | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2016-05-24 |
| 1487023776 | Vivian Orthmann | Nurse Practitioner | 504 N 40th Ave, Yakima, WA 98908-4311 | 2015-09-17 |
| 1821485020 | Kial Lynne Wiley | Family Medicine | 504 N 40th Ave, Yakima, WA 98908 | 2015-04-25 |
| 1134441231 | Memorial Physicians, P.l.l.c. | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2010-02-17 |
| 1730321522 | Memorial Practice Management, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2009-03-25 |
| 1265604094 | Medical Associates of Yakima, LLC | Clinic/Center | 504 N 40th Ave, Yakima, WA 98908-4311 | 2008-04-01 |
| 1811177314 | Yakima Valley Professional Services, PC | Clinical Medical Laboratory | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-11-13 |
| 1568513422 | Theresa Hicks Inc Ps | Counselor | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-01-16 |
| 1083638001 | Jeffrey S Kaplan | Family Medicine | 504 N 40th Ave, Yakima, WA 98908-4311 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1255976056 | Olusegun Adesesan Bamgbelu | Pharmacist | Memorial Cornerstone Pharmacy, 4003 Creekside Loop, Yakima, WA 98908 | 2019-11-15 |
| 1699325811 | Sunrise Dental of Yakima | Dentist | 1020 South 40th Avenue, Suite G, Yakima, WA 98908 | 2019-09-19 |
| 1558896175 | Alyssa Noelle Wickenhagen | Specialist/Technologist | 106 N 91st Ave, Yakima, WA 98908 | 2017-04-21 |
| 1962861591 | Vanessa Roth | Massage Therapist | 10607 Wide Hollow Road, Yakima, WA 98908 | 2016-02-10 |
| 1407214000 | Kristine Mcclure | Counselor | 506 N 40th Ave Ste 201, Yakima, WA 98908 | 2016-02-10 |
| 1245635069 | Harry Williams | Pharmacist | 6600 West Nob Hill Blvd, Yakima, WA 98908 | 2014-10-23 |
| 1508107509 | Richard Paul Bustetter | Registered Nurse | 6513 West Chestnut Ave, Elite Nursing P.l.l.c., Yakima, WA 98908 | 2013-03-15 |
| 1528305331 | Beverly Irene Chandler | Licensed Practical Nurse | 6573 W. Chestnut Ave, Yakima, WA 98908 | 2013-01-14 |
| 1225373764 | Susan Schell | Licensed Practical Nurse | 6513 W.chestnut Ave, Elite Nursing, Yakima, WA 98908 | 2012-12-11 |
| Find all providers in zip 98908 | ||||
| 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 |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1962999060 | Laboratory Corporation of America | Clinical Medical Laboratory | 2205 W Lincoln Ave, Yakima, WA 98902-2437 | 2018-04-16 |
| 1477040574 | Laboratory Corporation of America | Clinical Medical Laboratory | 602 E Nob Hill Blvd, Yakima, WA 98901-3534 | 2018-04-16 |
| 1942705702 | Laboratory Corporation of America | Clinical Medical Laboratory | 1806 W Lincoln Ave, Yakima, WA 98902-2473 | 2018-03-26 |
| 1750635934 | Memorial Physicians, Pllc | Clinical Medical Laboratory | 3909 Creekside Loop, Suite120, Yakima, WA 98902-4880 | 2012-11-09 |
| 1073746368 | Laboratory Corporation of America | Clinical Medical Laboratory | 12 S 8th St, Yakima, WA 98901-3020 | 2009-09-02 |
| 1811177314 | Yakima Valley Professional Services, PC | Clinical Medical Laboratory | 504 N 40th Ave, Yakima, WA 98908-4311 | 2007-11-13 |
| 1457559775 | Exxel Medical Diagnostics, Inc. | Clinical Medical Laboratory | 412 S 12th Ave, Yakima, WA 98902-3115 | 2007-07-09 |
| 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 |
| 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 |
| 1659837961 | Fidalab | Clinical Medical Laboratory | 2296 W Commodore Way Ste 220, Seattle, WA 98199-1565 | 2019-02-12 |
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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.