CELLNETIX LABS, LLC (NPI# 1407060411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407060411 |
| Entity Type | Organization |
| Organization Name | CELLNETIX LABS, LLC |
| Practice Address |
12501 E Marginal Way S Ste 200 Tukwila WA 98168-2560 |
| Mailing Address |
1124 Columbia St Suite 200 Seattle WA 98104-2026 |
| Practice Telephone | 2065766138 |
| Practice Fax Number | 2062156090 |
| Mailing Telephone | 2065766138 |
| Mailing Fax Number | 2062156090 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-07-07 |
| Authorized Official Name | MR. DAVID KIEHN (CFO) |
| Authorized Official Telephone | 2065766138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 50D1067441 | WA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CLIA # | 50D1067441 | 01 |
| WA | 7138043 | 05 | |
| WA | MEDICAL TEST SITE | MTS-5084 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525023 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 413 Lilly Rd Ne # Ddh06, Olympia, WA 98506-5133 | 2018-07-25 |
| 1538422639 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 2490 S Woodworth Loop, Palmer, AK 99645-7405 | 2012-06-22 |
| 1477828838 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 800 W 5th Ave, Spokane, WA 99204-2803 | 2012-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CELLNETIX LABS, LLC | 1124 Columbia St., Suite 200, Seattle, Wa 98104 |
| Washington State Corporations | CELLNETIX LABS, LLC | 12501 E Marginal Way S, Ste 200, Tukwila, WA 98168-5163 |
| Colorado Business Entities | CellNetix Labs, LLC | 12501 E Marginal Way S, Suite 200, Tukwila, WA 98168 |
| Street Address |
12501 E MARGINAL WAY S STE 200 |
| City | TUKWILA |
| State | WA |
| Zip Code | 98168-2560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080469 | Tanveer Singh Buttar | Dentist | 13955 57th Ave S, Tukwila, WA 98168 | 2020-10-14 |
| 1952878746 | Maria Sherisse Santos-nichol | Nurse Practitioner | 13610 1st Ave South, Burien, WA 98168 | 2018-10-30 |
| 1790292084 | Shizuno Wynkoop | Behavioral Analyst | 10827 3rd Ave S, Seattle, WA 98168 | 2018-01-08 |
| 1043766751 | Il-jea Bahk | Pharmacist | 14300 First Ave S, Burien, WA 98168 | 2016-09-01 |
| 1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
| 1639597651 | Ivy Walker | Point of Service | 2225 S 112th St Apt C309, Seattle, WA 98168 | 2014-04-07 |
| 1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
| 1932459237 | Navos Mental Health | Case Management | 1010 S. 146th Street, Seattle, WA 98168 | 2012-09-13 |
| 1215206313 | Healthpoint | Clinic/Center | 13030 Military Road S, Suite 200, Tukwila, WA 98168 | 2011-12-19 |
| 1861787020 | Jonathan Richard Chenoweth | Student in an Organized Health Care Education/Training Program | 12400 E Marginal Way S, Amb-2, Tukwila, WA 98168 | 2011-06-16 |
| Find all providers in zip 98168 | ||||
| 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 |
|---|---|---|---|---|
| 1811392350 | Robyn Lynn Hickman | Clinical Medical Laboratory | 14633 Military Rd S, Tukwila, WA 98168-4257 | 2014-10-27 |
| 1659523967 | New Schryver LLC | Clinical Medical Laboratory | 12668 Interurban Ave S, Tukwila, WA 98168-3314 | 2008-10-17 |
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|---|---|---|---|---|
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| 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.