PACLAB (SAINT CLARE HOSPITAL) NPI 1003029745

Clinical Medical Laboratory in Lakewood, WA

NPI 1003029745 Organization Clinical Medical Laboratory

About PACLAB (SAINT CLARE HOSPITAL)

Paclab (saint Clare Hospital) is a provider established in Lakewood, Washington specializing in clinical medical laboratory. The NPI number of Paclab (saint Clare Hospital) is 1003029745 and was assigned on May 2007. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Paclab. The authorized official of this NPI record is Mr. Kurt Rogers (Cfo)

NPI

1003029745

Provider NamePACLAB (SAINT CLARE HOSPITAL)
Provider Location Address11315 BRIDGEPORT WAY SE LAKEWOOD, WA 98499
Provider Mailing AddressPO BOX 2670 SPOKANE, WA 99220
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NamePACLAB
Other Name TypeDoing Business As (3)
Enumeration Date05-08-2007
Last Update Date04-21-2011


Primary Taxonomy

Taxonomy Code291U00000X
ClassificationClinical Medical Laboratory
TypeLaboratories
Taxonomy Description(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.

Business Address

PACLAB
11315 BRIDGEPORT WAY SE
LAKEWOOD, WA
ZIP 98499
Phone: (800) 752-8994

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Mailing Address

PACLAB
PO BOX 2670
SPOKANE, WA
ZIP 99220
Phone: (800) 752-8994



Authorized Official

Authorized Official NameMR. KURT ROGERS
Authorized Official TitleCFO
Authorized Official Phone(509) 755-8700

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
500021MEDICARE ID-TYPE UNSPECIFIED (04)WA
7079023MEDICAID (05)WA

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.