WESTERN WASHINGTON MEDICAL GROUP DEPARTMENT OF LABORATORY SERVICES
NPI 1629024740
Clinical Medical Laboratory in Everett, WA

Active since May 26, 2006CLIA 50D2229957 · Waiver
4301 HOYT AVE, SUITE B, EVERETT, WA 98203(425) 257-9997 Get Directions Write a Review

NPPES record last updated: February 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 23, 2016, Feb 12, 2016 (2 updates tracked since 2016).

About Western Washington Medical Group Department Of Laboratory Services NPPES

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

WESTERN WASHINGTON MEDICAL GROUP DEPARTMENT OF LABORATORY SERVICES (NPI 1629024740) is a healthcare organization registered as a clinical medical laboratory in Everett, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Vicki M Mcginnis, Privacy Officer, as its authorized official.

NPPES Registry Identity

NPI1629024740
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameWESTERN WASHINGTON MEDICAL GROUP, INC PS
Location Address4301 HOYT AVE, SUITE BEverett, WA 98203-2316
Mailing Address1728 W Marine View Dr, Suite 111Everett, WA 98201-2094 · (425) 740-4177 · Fax (425) 252-6642
Organization SubpartYesParent: Western Washington Medical Group
Authorized OfficialVicki M McginnisPrivacy Officer · (425) 259-4041
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 23, 20162 updates tracked since enumeration
NPI 1629024740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
4301 HOYT AVE, Everett, WA 98203

Other Names 1

Doing Business AsWestern Washington Medical Group Department Of Laboratory Services

Other Identifiers 4

Medicare ID-Type Unspecified8806643WA · Medicare Number
OtherP00162700Rr Medicare
Other0188172WA · Labor And Industry
Medicaid7124795WA

Accepted 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 of Waiver 50D2229957

Western Washington Medical Group · Mukilteo, WA
Active · expires Apr 4, 2028
CLIA Number50D2229957
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorVince N. Montes
Laboratory Phone(425) 740-4177
Laboratory LocationWestern Washington Medical Group8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Nurse Practitioner
4301 HOYT AVE
EVERETT, WA 98203
Nurse Practitioner
4301 HOYT AVE
EVERETT, WA 98203
Family Medicine
4301 HOYT AVE
EVERETT, WA 98203
Counselor (Addiction (Substance Use Disorder))
4301 HOYT AVE
EVERETT, WA 98203
Family Medicine
4301 HOYT AVE, WESTERN WASHINGTON MEDICAL GROUP
EVERETT, WA 98203
Counselor (Addiction (Substance Use Disorder))
4301 HOYT AVE
EVERETT, WA 98203
Nurse Practitioner (Psychiatric/Mental Health)
4301 HOYT AVE
EVERETT, WA 98203
Family Medicine
4301 HOYT AVE
EVERETT, WA 98203

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 Western Washington Medical Group, Inc Ps's NPI number?

The NPI number for Western Washington Medical Group, Inc Ps is 1629024740. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Western Washington Medical Group Department Of Laboratory Services.

Where is Western Washington Medical Group, Inc Ps located?

Western Washington Medical Group, Inc Ps is located at 4301 Hoyt Ave Suite B, Everett, WA 98203. The listed phone number is (425) 257-9997.

What is Western Washington Medical Group, Inc Ps's specialty?

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

Does Western Washington Medical Group, Inc Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2229957) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Western Washington Medical Group, Inc Ps accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Western Washington Medical Group, Inc Ps 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 Western Washington Medical Group, Inc Ps was last updated on February 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.