LEGACY LABORATORY SERVICES, LLC
NPI 1902059538
Clinical Medical Laboratory in Portland, OR

Active since October 28, 2008CLIA Certified · 2 labs
1225 NE 2ND AVE, PORTLAND, OR 97232(503) 413-5050(503) 413-3212 Get Directions Write a Review

NPPES record last updated: April 14, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Legacy Laboratory Services, Llc NPPES

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

LEGACY LABORATORY SERVICES, LLC (NPI 1902059538) is a healthcare organization registered as a clinical medical laboratory in Portland, Oregon and active in the NPI registry since October 2008. The organization holds 2 active CLIA laboratory certificates and lists Pamela S Vuckovich, Sr Vp And Cfo, as its authorized official.

NPPES Registry Identity

NPI1902059538
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLEGACY LABORATORY SERVICES, LLC
Location Address1225 NE 2ND AVEPortland, OR 97232-2003
Mailing AddressPo Box 5337Portland, OR 97228-5337 · (503) 413-4420 · Fax (503) 413-4405
Fax(503) 413-3212
Organization SubpartYesParent: Legacy Emanuel Hospital And Health Center
Authorized OfficialPamela S VuckovichSr Vp And Cfo · (503) 415-5730
Enumeration DateOctober 28, 2008
Last NPPES UpdateApril 14, 2009
NPI 1902059538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in OR · 38D0625165
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.
1225 NE 2ND AVE, Portland, OR 97232

Other Identifiers 3

Medicare PINR146129OR
Medicare PINR146130OR
Medicare PINR146131OR

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 38D0624993

Legacy Laboratory Services Emanuel · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0624993
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Sarah A. Walter
Laboratory Phone(503) 413-4085
Laboratory LocationLegacy Laboratory Services Emanuel2801 N Gantenbein Avenue, Portland, OR 97227
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 38D0726173

Legacy Laboratory Services Good Samaritan · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0726173
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Brian Werstein
Laboratory Phone(503) 413-7003
Laboratory LocationLegacy Laboratory Services Good Samaritan1015 NW 22nd Ave, Portland, OR 97210
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

General Acute Care Hospital
1225 NE 2ND AVE
PORTLAND, OR 97232
Registered Nurse (Psychiatric/Mental Health, Adult)
1225 NE 2ND AVE
PORTLAND, OR 97232
Psychiatric Unit
1225 NE 2ND AVE
PORTLAND, OR 97232
Nurse Practitioner (Family)
1225 NE 2ND AVE
PORTLAND, OR 97232
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1225 NE 2ND AVE
PORTLAND, OR 97232
Nurse Practitioner (Psychiatric/Mental Health)
1225 NE 2ND AVE, UNITY CENTER
PORTLAND, OR 97232
Nurse Practitioner (Psychiatric/Mental Health)
1225 NE 2ND AVE
PORTLAND, OR 97232
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
1225 NE 2ND AVE
PORTLAND, OR 97232

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 Legacy Laboratory Services, LLC's NPI number?

The NPI number for Legacy Laboratory Services, LLC is 1902059538. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Legacy Laboratory Services, LLC located?

Legacy Laboratory Services, LLC is located at 1225 NE 2nd Ave, Portland, OR 97232. The listed phone number is (503) 413-5050.

What is Legacy Laboratory Services, LLC's specialty?

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

Does Legacy Laboratory Services, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Legacy Laboratory Services, LLC was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.