DYNACARE NORTHWEST, INC NPI 1982907630

Clinical Medical Laboratory in Redmond, WA

NPI 1982907630 Organization Clinical Medical Laboratory CLIA Number 50D2017154 CLIA Certificate of Compliance

NPI Profile for DYNACARE NORTHWEST, INC

Dynacare Northwest, Inc is a provider established in Redmond, Washington specializing in clinical medical laboratory. The NPI number of Dynacare Northwest, Inc is 1982907630 and was assigned on December 2010. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Kimberly Williams (Vp)

The CLIA number of Dynacare Northwest, Inc is 50D2017154 registered as a "independent" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued to Dynacare Northwest, Inc 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.

NPI

1982907630

Provider NameDYNACARE NORTHWEST, INC
Provider Location Address18100 NE UNION HILL RD REDMOND, WA 98052
Provider Mailing AddressPO BOX 2240 BURLINGTON, NC 27216
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-17-2010
Last Update Date01-02-2014


Primary Taxonomy

Taxonomy Code291U00000X
ClassificationClinical Medical Laboratory
TypeLaboratories
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.

Business Address

DYNACARE NORTHWEST, INC
18100 NE UNION HILL RD
REDMOND, WA
ZIP 98052
Phone: (425) 498-2051

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Mailing Address

DYNACARE NORTHWEST, INC
PO BOX 2240
BURLINGTON, NC
ZIP 27216
Phone: (800) 222-7566
Fax: (336) 436-1048



Authorized Official

Authorized Official Name KIMBERLY WILLIAMS
Authorized Official TitleVP
Authorized Official Phone(800) 222-7566

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 the NPI number 1982907630 is:

CLIA Number50D2017154
Facility TypeINDEPENDENT
Certificate TypeCertificate of Compliance

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
50D2017154OTHER (01)CLIA

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1982907630
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291621801466
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 6 + 2 + 1 + 8 + 0 + 1 + 4 + 6 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1982907630 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760415251 MINDY L. HSUE M.D.
Individual
Family Medicine18100 NE UNION HILL RD
REDMOND, WA 98052
(425) 702-8689
1710288758EASTSIDE EMERGENCY PHYSICIANS, PLLC
Organization
Emergency Medicine18100 NE UNION HILL RD
REDMOND, WA 98052
(626) 447-0296
1902167471ANKLE & FOOT SPECIALISTS OF PUGET SOUND, PS
Organization
Podiatrist18100 NE UNION HILL RD SUITE 200
REDMOND, WA 98052
(425) 644-2313
1225289192DR. RASHNO DAVOODI M.D
Individual
Family Medicine18100 NE UNION HILL RD STE 200
REDMOND, WA 98052
(206) 320-5190
1396933982 LINDSEY DEANNE MILLS PA
Individual
Physician Assistant18100 NE UNION HILL RD SUITE 200
REDMOND, WA 98052
(206) 320-5190
1740640085 SHUKRIYA ZARIF PA-C
Individual
Physician Assistant18100 NE UNION HILL RD
REDMOND, WA 98052
(206) 619-2821
1326036690 RICHARD KWUN MD
Individual
Emergency Medicine18100 NE UNION HILL RD SUITE 200
REDMOND, WA 98052
(206) 320-5190
1891777397 HARRY NICHOLAS PEPE III M.D.
Individual
Family Medicine18100 NE UNION HILL RD SUITE 200
REDMOND, WA 98052
(206) 320-5190
1295248805 EMILY SUZANNE TANNER PA-C
Individual
Physician Assistant18100 NE UNION HILL RD
REDMOND, WA 98052
(425) 498-2165

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dynacare Northwest, Inc is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.