DYNACARE NORTHWEST, INC. (NPI# 1962743484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962743484 |
| Entity Type | Organization |
| Organization Name | DYNACARE NORTHWEST, INC. |
| Practice Address |
550 17th Ave Suite 310 Seattle WA 98122-5788 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 2068617000 |
| Mailing Telephone | 8002227566 |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-12-23 |
| 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 | 50D2053987 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306280201 | Dynacare Northwest, Inc. | Clinical Medical Laboratory | 1221 Madison Street, Suite 220, Seattle, WA 98104-4304 | 2013-04-22 |
| Street Address |
550 17TH AVE SUITE 310 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164420428 | Morris B Chang | Psychiatry & Neurology | 550 17th Ave, Seattle, WA 98122-5788 | 2005-07-11 |
| 1982144010 | Swedish Medical Center | General Acute Care Hospital | 550 17th Ave, Seattle, WA 98122-5788 | 2017-03-08 |
| 1558757757 | Michael Meng Chen | Psychiatry & Neurology | 550 17th Ave, Seattle, WA 98122-5788 | 2015-04-14 |
| 1023402914 | Lien B Nguyen | Psychiatry & Neurology | 550 17th Ave, Seattle, WA 98122-5788 | 2015-03-27 |
| 1407246028 | Sara Wade | Physician Assistant | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2015-02-03 |
| 1164812798 | Paul Niemi | Nurse Practitioner | 550 17th Ave, Suite 500, Seattle, WA 98122-5788 | 2015-02-03 |
| 1114336393 | Elizabeth Emma Elkins | Audiologist | 550 17th Ave, Suite 520, Seattle, WA 98122-5788 | 2014-08-12 |
| 1194148700 | Subhekchya Sharma | Nurse Practitioner | 550 17th Ave, Seattle, WA 98122-5788 | 2014-02-03 |
| 1982026472 | Alexandra Parbery-clark | Audiologist | 550 17th Ave, Suite 520, Seattle, WA 98122-5788 | 2014-01-17 |
| 1376884395 | Mary Judith Kuzmick | Registered Nurse | 550 17th Ave, Seattle, WA 98122 | 2013-03-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
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| 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. |
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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 |
| 1356906713 | Actx, Inc. | Clinical Medical Laboratory | 2101 4th Ave Ste 1180, Seattle, WA 98121-2318 | 2019-05-01 |
| 1659837961 | Fidalab | Clinical Medical Laboratory | 2296 W Commodore Way Ste 220, Seattle, WA 98199-1565 | 2019-02-12 |
| 1881128700 | Kimberly Freeland Starr | Clinical Medical Laboratory | 12508 Lake City Way Ne Apt 313, Seattle, WA 98125-4437 | 2017-04-18 |
| 1497133573 | Blueprint Genetics | Clinical Medical Laboratory | 2505 3rd Ave Ste 204, Seattle, WA 98121-1480 | 2015-05-11 |
| 1275936973 | Laboratory Corporation of America | Clinical Medical Laboratory | 5414 Barnes Ave Nw # 2, Seattle, WA 98107-3839 | 2014-10-08 |
| 1720489834 | Atlas Genomics LLC | Clinical Medical Laboratory | 2296 W Commodore Way, Ste 220, Seattle, WA 98199-1565 | 2014-09-08 |
| 1508105024 | Adaptive Biotechnologies Corporation | Clinical Medical Laboratory | 1551 Eastlake Ave E, Suite 200, Seattle, WA 98102-7402 | 2013-02-04 |
| 1306139696 | Atossa Genetics Inc | Clinical Medical Laboratory | 1616 Eastlake Ave E, Ste 360, Seattle, WA 98102 | 2011-05-19 |
| 1942504402 | Dynacare Northwest, Inc | Clinical Medical Laboratory | 1101 Madison St Ste 510, Seattle, WA 98104-3557 | 2010-12-27 |
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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.