NPI Details
STUMPTOWN LAB SERVICES LLC is a clinical medical laboratory in Portland, 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. STUMPTOWN LAB SERVICES LLC NPI is 1326869579. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1355 NW EVERETT ST STE 100
PORTLAND, OR
ZIP 97209-655
Phone: (971) 433-5334
Fax: (971) 200-8669
The provider's authorized official is Timothy L Seaton .
The authorized official title is Managing Director and has the following contact phone number (971) 433-5334.
The CLIA number assigned to this NPI record is 38D2313450 - mobile laboratory with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/21/2024 and was last updated on 10/21/2024.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 246RP1900X | Technician, Pathology | Phlebotomy | | | No |
| 2 | 291U00000X | Clinical Medical Laboratory | | | | Yes |
