PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI 1316433527
Clinical Medical Laboratory in Walla Walla, WA

Active since July 11, 2018
1025 S 2ND AVE, WALLA WALLA, WA 99362(509) 897-5174 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2025, Jul 11, 2018 (2 updates tracked since 2018).

About Providence Health & Services - Washington NPPES

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON (NPI 1316433527), doing business as Pmg Se Wa - Lab, is a healthcare organization registered as a clinical medical laboratory in Walla Walla, Washington and active in the NPI registry since July 2018. The organization lists Donald Wayne Anderson, Asst Secretary-enrollment/admin Dir, as its authorized official.

NPPES Registry Identity

NPI1316433527
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROVIDENCE HEALTH & SERVICES - WASHINGTON
Location Address1025 S 2ND AVEWalla Walla, WA 99362-4116
Mailing AddressPo Box 32Liberty Lake, WA 99019-0032
Organization SubpartNo
Authorized OfficialDonald Wayne AndersonAsst Secretary-enrollment/admin Dir · (425) 358-9786
Enumeration DateJuly 11, 2018
Last NPPES UpdateMay 6, 20252 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
NPI 1316433527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in WA · MTSC.FS.60877120
Definition
(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.
1025 S 2ND AVE, Walla Walla, WA 99362

Other Names 1

Doing Business AsPmg Se Wa - Lab

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Occupational Therapist
1025 S 2ND AVE
WALLA WALLA, WA 99362
Internal Medicine
1025 S 2ND AVE
WALLA WALLA, WA 99362
Occupational Therapist
1025 S 2ND AVE
WALLA WALLA, WA 99362
Pharmacist (Pharmacotherapy)
1025 S 2ND AVE
WALLA WALLA, WA 99362
Family Medicine
1025 S 2ND AVE
WALLA WALLA, WA 99362
Physical Therapist
1025 S 2ND AVE
WALLA WALLA, WA 99362
Physical Therapist
1025 S 2ND AVE
WALLA WALLA, WA 99362
Dietitian, Registered
1025 S 2ND AVE
WALLA WALLA, WA 99362

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 Providence Health & Services - Washington's NPI number?

The NPI number for Providence Health & Services - Washington is 1316433527. It was assigned to this organization in the NPPES registry on July 11, 2018. The provider is doing business as PMG SE WA - Lab.

Where is Providence Health & Services - Washington located?

Providence Health & Services - Washington is located at 1025 S 2nd Ave, Walla Walla, WA 99362. The listed phone number is (509) 897-5174.

What is Providence Health & Services - Washington's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

What insurance does Providence Health & Services - Washington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services - Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Providence Health & Services - Washington was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.