OPTUM - EVERETT MOHS
NPI 1497807580
Durable Medical Equipment & Medical Supplies in Everett, WA
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 50D1016202
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About OPTUM - EVERETT MOHS
This page provides the complete NPI Profile along with additional information for Optum - Everett Mohs, a provider established in Everett, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1497807580 assigned on January 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Optum - Everett Mohs. The authorized official of this NPI record is Dr. George Go Md (Board President)
- NPI
- 1497807580 Verify this NPI
- Provider Legal Name
- OPTUM CARE WASHINGTON PLLC
- Other Organization Name
- OPTUM - EVERETT MOHS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 3726 COLBY AVE EVERETT, WA 98201
- Location Phone
- (425) 257-1450
- Mailing Address
- PO BOX 5127 EVERETT, WA 98206
- Mailing Phone
- (425) 257-1450
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-17-2007
- Last Update Date
- 04-09-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33000 | OTHER (01) | WA | L&I |
| 7776503 | MEDICAID (05) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1016202
- Facility Type
- Physician Office
- Certificate Effective Date
- August 22, 2003
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- SEAN MCGUIRE
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Optum - Everett Mohs after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497807580, enumerated as an "organization" on January 17, 2007.
The provider is located at 3726 COLBY AVE EVERETT, WA 98201 and the phone number is (425) 257-1450.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
