NORTH WEST CLINICAL LABORATORY
NPI 1962412510
Clinical Medical Laboratory in Portland, OR

Active since August 08, 2006
6629 NE 82ND AVE, SUITE 203, PORTLAND, OR 97220(503) 756-8159 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About North West Clinical Laboratory NPPES

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

NORTH WEST CLINICAL LABORATORY (NPI 1962412510) is a healthcare organization registered as a clinical medical laboratory in Portland, Oregon and active in the NPI registry since August 2006. The organization lists Evgeny I Fedotov, President, as its authorized official.

NPPES Registry Identity

NPI1962412510
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameEVGENY I FEDOTOV
Location Address6629 NE 82ND AVE, SUITE 203Portland, OR 97220-1346
Mailing Address6629 Ne 82nd Ave, Suite 203Portland, OR 97220-1346 · (503) 756-8159
Organization SubpartNo
Authorized OfficialEvgeny I FedotovPresident · (503) 252-5042
Enumeration DateAugust 8, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1962412510 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.
6629 NE 82ND AVE, Portland, OR 97220

Other Names 1

Doing Business AsNorth West Clinical Laboratory

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 Evgeny I Fedotov's NPI number?

The NPI number for Evgeny I Fedotov is 1962412510. It was assigned to this organization in the NPPES registry on August 8, 2006. The provider is doing business as North West Clinical Laboratory.

Where is Evgeny I Fedotov located?

Evgeny I Fedotov is located at 6629 NE 82nd Ave Suite 203, Portland, OR 97220. The listed phone number is (503) 756-8159.

What is Evgeny I Fedotov's specialty?

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

When was this NPI record last updated?

The NPPES record for Evgeny I Fedotov was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.