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CASCADE REGENERATIVE MEDICINE LLC
NPI 1104533223
Non-Pharmacy Dispensing Site in Issaquah, WA

Active since October 28, 2022CLIA 50D2133510 · Waiver
450 NW GILMAN BLVD STE 200, ISSAQUAH, WA 98027(425) 391-5270(425) 391-8091 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cascade Regenerative Medicine Llc NPPES

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

CASCADE REGENERATIVE MEDICINE LLC (NPI 1104533223) is a healthcare organization registered as a non-pharmacy dispensing site in Issaquah, Washington and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Rian Nightingale Shah, President, as its authorized official.

NPPES Registry Identity

NPI1104533223
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameCASCADE REGENERATIVE MEDICINE LLC
Location Address450 NW GILMAN BLVD STE 200Issaquah, WA 98027-2483
Mailing Address450 Nw Gilman Blvd Ste 201Issaquah, WA 98027-2722 · (425) 391-5270 · Fax (425) 391-8091
Phone(425) 391-5270
Fax(425) 391-8091
Organization SubpartNo
Authorized OfficialRian Nightingale ShahPresident · (425) 391-5270
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
✔ NPI 1104533223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
450 NW GILMAN BLVD STE 200, Issaquah, WA 98027
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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 Waiver 50D2133510

Cascade Integrative Medicine · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D2133510
Laboratory TypeReference Lab
Certificate Effective DateJuly 13, 2017
Certificate Expiration DateApril 4, 2028
Laboratory DirectorRian Shah
Laboratory Phone(425) 391-5270
Laboratory LocationCascade Integrative Medicine450 NW Gilman Blvd Ste 201, Issaquah, WA 98027
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cascade Regenerative Medicine LLC's NPI number?

The NPI number for Cascade Regenerative Medicine LLC is 1104533223. It was assigned to this organization in the NPPES registry on October 28, 2022.

Where is Cascade Regenerative Medicine LLC located?

Cascade Regenerative Medicine LLC is located at 450 NW Gilman Blvd Ste 200, Issaquah, WA 98027. The listed phone number is (425) 391-5270.

What is Cascade Regenerative Medicine LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Does Cascade Regenerative Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2133510) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cascade Regenerative Medicine LLC was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.