VISTA ONCOLOGY INC PS - NPI 1033435730 - Specialist in Olympia, WA

Q: What is Vista Oncology Inc Ps's NPI number?

The NPI number for Vista Oncology Inc Ps is 1033435730. It was assigned to this organization in the NPPES registry on April 20, 2010.

Q: What is Vista Oncology Inc Ps's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Vista Oncology Inc Ps NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VISTA ONCOLOGY INC PS (NPI 1033435730) is a healthcare organization registered as a specialist in Olympia, Washington and active in the NPI registry since April 2010. The organization holds an CLIA Accreditation certificate valid through April 4, 2028 and lists Eric Zhang, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033435730

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameVISTA ONCOLOGY INC PS

Location Address141 LILLY RD NEOlympia, WA 98506-5028

Mailing Address141 Lilly Rd NeOlympia, WA 98506-5028 · (360) 413-8880 · Fax (360) 350-4838

Phone(360) 413-8880

Fax(360) 350-4838

Organization SubpartYes

Authorized OfficialEric ZhangOffice Manager · (360) 413-8880

Enumeration DateApril 20, 2010

✔ NPI 1033435730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in WA · MD00043241✔ Licensed in WA · MD00043519

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

141 LILLY RD NE, Olympia, WA 98506

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Other Identifiers 4

Medicare UPINH96096WA

Medicaid8391430WA

Medicaid8392730WA

Medicaid7142987WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 50D2029784

Aop Dba Vista Oncology · Olympia, WA

Active · expires Apr 4, 2028

CLIA Number50D2029784

Laboratory TypePhysician Office

Certificate Effective DateDecember 1, 2019

Certificate Expiration DateApril 4, 2028

Laboratory DirectorDr. Joseph Ye

Laboratory Phone(360) 413-8880

Laboratory LocationAop Dba Vista Oncology141 Lilly Rd NE, Olympia, WA 98506

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GAYLE LYNN FUNK PA-C

Physician Assistant