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BEND DERMATOLOGY CLINIC LLC NPI 1548412224


NPI Information

NPI: 1548412224
Provider Name: BEND DERMATOLOGY CLINIC LLC

Doing Business As: CASCADIA HISTOPATHOLOGY

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 38D2134456

Address:
2705 NE CONNERS AVE
BEND, OR
ZIP 97701
Phone: (541) 382-5712
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BEND DERMATOLOGY CLINIC LLC is a clinical medical laboratory in Bend, OR. The provider is (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. BEND DERMATOLOGY CLINIC LLC NPI is 1548412224. The provider is registered as an organization entity type.
The provider Is Doing Business As Cascadia Histopathology.

The provider's business location address is:

2705 NE CONNERS AVE
BEND, OR
ZIP 97701-904
Phone: (541) 382-5712
Fax: (541) 382-2605

The provider's authorized official is Suzanne R Maitland .
The authorized official title is Administrator and has the following contact phone number (541) 322-1980.

The CLIA number assigned to this NPI record is 38D2134456 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 5/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory38D0628271OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P00692242OTHEROREGONRAIL ROAD MEDICARE PTAN
2R143867MEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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