Provider Type Icon

EASTSIDE PATHOLOGY INC PS NPI 1013184621


NPI Information

NPI: 1013184621
Provider Name: EASTSIDE PATHOLOGY INC PS
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1280 116TH AVE NE
SUITE 100
BELLEVUE, WA
ZIP 98004
Phone: (425) 646-0922
Get Directions

EASTSIDE PATHOLOGY INC PS is a clinical medical laboratory in Bellevue, WA. 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. EASTSIDE PATHOLOGY INC PS NPI is 1013184621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1280 116TH AVE NE
SUITE 100
BELLEVUE, WA
ZIP 98004-803
Phone: (425) 646-0922
Fax: (425) 646-0925

The provider's authorized official is Brent D Benjamin .
The authorized official title is President and has the following contact phone number (425) 646-0922.

The enumeration date for this NPI number is 5/13/2008 and was last updated on 6/6/2008.


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
1207ZC0500XPathologyCytopathologyWASHINGTONNo
2207ZD0900XPathologyDermatopathologyWASHINGTONNo
3207ZH0000XPathologyHematologyWASHINGTONNo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyWASHINGTONNo
5291U00000XClinical Medical LaboratoryWASHINGTONYes

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
17045651MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.