UNIVERSITY PLACE FAMILY CARE - NPI 1457873002 - Clinic/Center in University Place, WA

Q: What is Northwestern Healthcare Management Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

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About University Place Family Care NPPES

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

UNIVERSITY PLACE FAMILY CARE (NPI 1457873002) is a healthcare organization registered as a primary care in University Place, Washington and active in the NPI registry since July 2017. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Mitra Hanjani, Owner, as its authorized official.

NPPES Registry Identity

NPI1457873002

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameNORTHWESTERN HEALTHCARE MANAGEMENT SERVICES LLC

Location Address4114 BRIDGEPORT WAY WUniversity Place, WA 98466-4315

Mailing Address4114 Bridgeport Way WUniversity Place, WA 98466-4315 · (253) 564-4157 · Fax (253) 220-2491

Phone(253) 564-4157

Fax(253) 564-4813

Organization SubpartNo

Authorized OfficialMitra HanjaniOwner · (253) 564-4157

Enumeration DateJuly 14, 2017

Last NPPES UpdateJuly 28, 20235 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1457873002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedInternal MedicineTaxonomy 207R00000X

4114 BRIDGEPORT WAY W, University Place, WA 98466

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Other Names 1

Doing Business AsUniversity Place Family Care

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0954634

University Place Medical Clinic · University Place, WA

Active · expires Apr 4, 2028

CLIA Number50D0954634

Laboratory TypePhysician Office

Certificate Effective DateDecember 3, 1998

Certificate Expiration DateApril 4, 2028

Laboratory DirectorMitra H. Hanjani

Laboratory Phone(253) 564-4157

Laboratory LocationUniversity Place Medical Clinic4114 Bridgeport Way W, University Place, WA 98466

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

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

MS. KAREN KAY GARCIA CNM WHNP

Advanced Practice Midwife