PROVIDENCE HEALTH & SERVICES WASHINGTON
NPI 1548480866
Clinical Medical Laboratory in Centralia, WA

Q: What is the provider's specialty?

The provider's specialty is Clinical Medical Laboratory with taxonomy code 291U00000X.

Active since April 27, 2007

914 S SCHEUBER RD, CENTRALIA, WA 98531(360) 736-2803 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinical Medical Laboratory
Accepts Insurance

About PROVIDENCE HEALTH & SERVICES WASHINGTON

This page provides the complete NPI Profile along with additional information for Providence Health & Services Washington, a provider established in Centralia, Washington operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1548480866 assigned on April 2007. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secreatry For Enrollment)

NPI: 1548480866 Verify this NPI
Provider Name: PROVIDENCE HEALTH & SERVICES WASHINGTON
Other Name Type: (6)
Entity Type: Organization
Location Address: 914 S SCHEUBER RD CENTRALIA, WA 98531
Location Phone: (360) 736-2803
Mailing Address: 909 N. BROADWAY PBO/CREDENTIALING EVERETT, WA 98201
Mailing Phone: (425) 317-0246
Mailing Fax: (425) 317-0291
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-27-2007
Last Update Date: 05-05-2025
Code Navigator

Establishments like Providence Health & Services Washington are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

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: Clinical Medical Laboratory
Taxonomy Code: 291U00000X
Type: Laboratories
Taxonomy Description: (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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

PacificSource Health Plans

Core Bronze HSA 10600 - EPO
Core Bronze HSA 7500 - EPO
Core Bronze HSA 8300 - EPO
Core Gold 1500 - EPO
Core Gold 3000 - EPO
Core Silver 3500 - EPO
Core Silver 4500 - EPO
Core Silver 5000 - EPO
Core Silver 7500 - EPO
Core Standard Expanded Bronze HSA - EPO
Core Standard Gold - EPO
Core Standard Silver - EPO
PacificSource Oregon Standard Bronze HSA Plan Core - EPO
PacificSource Oregon Standard Gold Plan Core - EPO
PacificSource Oregon Standard Silver Plan Core - EPO

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold - PPO
Premera Blue Cross Preferred Bronze 5800 HSA - PPO
Premera Blue Cross Preferred Bronze 6350 - PPO
Premera Blue Cross Preferred Gold 1500 - PPO
Premera Blue Cross Preferred Silver 4500 - PPO
Premera Blue Cross Standard Bronze II - PPO
Premera Blue Cross Standard Gold - PPO
Premera Blue Cross Standard Silver - PPO
Premera Blue Cross Family Dental - PPO
Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DONALD WAYNE ANDERSON JR.
Authorized Official Title: ASSISTANT SECREATRY FOR ENROLLMENT
Authorized Official Phone: (425) 358-9786