PAIN CARE PHYSICIANS PLLC (NPI# 1780135368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780135368 |
| Entity Type | Organization |
| Organization Name | PAIN CARE PHYSICIANS PLLC |
| Other Organization Name | KALA LAB SERVICES |
| Practice Address |
11611 Airport Rd Ste 102 Everett WA 98204-3782 |
| Mailing Address |
801 Sw 16th St Suite 121 Renton WA 98057-2697 |
| Practice Telephone | 2065386300 |
| Practice Fax Number | 2065386301 |
| Mailing Telephone | 2065386300 |
| Mailing Fax Number | 2065386301 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-02-03 |
| Authorized Official Name | ADAM BURKEY (MD) |
| Authorized Official Telephone | 2065386300 |
| Is Organization Subpart | Y |
| Parent Organization Name | PAIN CARE PHYSICIANS PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Kala Lab Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356960769 | Pain Care Physicians Pllc | Pain Medicine | 155 Lilly Rd Ne Ste A, Olympia, WA 98506-5028 | 2020-04-15 |
| 1477116697 | Pain Care Physicians Pllc | Pain Medicine | 3305 Nassau St, Everett, WA 98201-4140 | 2019-04-15 |
| 1619530839 | Pain Care Physicians Pllc | Pain Medicine | 155 Lilly Rd Ne, Olympia, WA 98506-5028 | 2019-04-15 |
| 1558892828 | Pain Care Physicians Pllc | Pain Medicine | 2950 Limited Ln Nw, Olympia, WA 98502-4577 | 2017-03-27 |
| 1548710585 | Pain Care Physicians Pllc | Pain Medicine | 1414 N Vercler Rd, Spokane Valley, WA 99216-1092 | 2016-10-13 |
| 1144779232 | Pain Care Physicians Pllc | Pain Medicine | 801 Sw 16th St, Suite 121, Renton, WA 98057 | 2016-09-29 |
| 1588113062 | Pain Care Physicians Pllc | Pain Medicine | 1628 S Mildred St, Ste. 105, Tacoma, WA 98465-1627 | 2016-09-26 |
| Street Address |
11611 AIRPORT RD STE 102 |
| City | EVERETT |
| State | WA |
| Zip Code | 98204-3782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262869 | Samuel Lin, Nd, Pllc | Naturopath | 13410 Hwy 99, Ste 202, Everett, WA 98204 | 2020-10-09 |
| 1003458225 | Svetlana A Gayevskaya | Technician | 12605 E. Gibson Rd. Unit # 87, Everett, WA 98204 | 2019-10-09 |
| 1821555921 | Kymberly Ann Shepherd | Counselor | 1011 128th St Sw, E201, Everett, WA 98204 | 2019-02-25 |
| 1609392653 | Mohammed Bayo | Nurse's Aide | 9217 4th Ave. West, Everett, WA 98204 | 2017-08-21 |
| 1962951582 | Abreham Shoangizaw | Pharmacist | 802 134th S B C, Everett, WA 98204 | 2016-09-23 |
| 1588012694 | Tammy J Laird | Counselor | 9300 Evergreen Way, Everett, WA 98204 | 2016-05-31 |
| 1083011282 | Bernadette K Stanek | Massage Therapist | 13410 Washington 99 #204, Everett, WA 98204 | 2014-12-03 |
| 1356771067 | Dixon Stopper | Hearing Instrument Specialist | 12811 8th Ave W Ste B203, Everett, WA 98204 | 2013-11-15 |
| 1427312495 | Dan Huy Nguyen | Respiratory Therapist, Registered | 1919 112th Street Southwest, Everett, WA 98204 | 2012-06-25 |
| 1942571880 | Alena A Klimenko | Specialist | 12811 8th- Ave W, Suite B-103, Everett, WA 98204 | 2012-01-24 |
| Find all providers in zip 98204 | ||||
| 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 |
|---|---|---|---|---|
| 1194263772 | Zoey Laboratory Services LLC | Clinical Medical Laboratory | 11611 Airport Rd Ste 101, Everett, WA 98204-3782 | 2017-02-03 |
| 1326347659 | Laboratory Corporation of America | Clinical Medical Laboratory | 13020 Meridian Ave S Fl 2, Everett, WA 98208-6422 | 2011-03-25 |
| 1437620499 | Laboratory Corporation of America | Clinical Medical Laboratory | 12800 Bothell Everett Hwy, Everett, WA 98208-6642 | 2018-12-16 |
| 1598118226 | Laboratory Corporation of America | Clinical Medical Laboratory | 3726 Broadway, Suite 202, Everett, WA 98201-3787 | 2016-07-18 |
| 1114354131 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2013-10-04 |
| 1801049127 | Providence Health & Services-wa | Clinical Medical Laboratory | 1321 Colby Ave, Everett, WA 98201-1665 | 2008-10-30 |
| 1538377957 | Providence Everett Medical Center | Clinical Medical Laboratory | 1321 Colby Ave, Everett, WA 98201-1665 | 2007-05-18 |
| 1518019603 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 1717 13th St, Everett, WA 98201-1621 | 2007-01-17 |
| 1457403719 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 1818 121st St Se, Everett, WA 98208-5985 | 2007-01-17 |
| 1316099401 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 3927 Rucker Ave, Everett, WA 98201-4833 | 2007-01-17 |
| Find all providers in EVERETT | ||||
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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.