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CCA OF SPOKANE LLC NPI 1912934878


NPI Information

NPI: 1912934878
Provider Name: CCA OF SPOKANE, LLC

Doing Business As: CARDIOVASCULAR SERVICES OF SPOKANE

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization
Address:
122 W 7TH AVE
STE 540
SPOKANE, WA
ZIP 99204
Phone: (509) 232-0567
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CCA OF SPOKANE, LLC is a physiological laboratory in Spokane, WA. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. CCA OF SPOKANE, LLC NPI is 1912934878. The provider is registered as an organization entity type.
The provider Is Doing Business As Cardiovascular Services Of Spokane.

The provider's business location address is:

122 W 7TH AVE
STE 540
SPOKANE, WA
ZIP 99204
Phone: (509) 232-0567
Fax: (509) 232-0571

The provider's authorized official is John William Combs .
The authorized official title is Director Of Operations and has the following contact phone number (509) 232-0567.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 8/20/2009.


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
1293D00000XPhysiological LaboratoryFX00057836WASHINGTONYes

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
1806709200MEDICAIDIDAHO
2AB40182MEDICARE PINWASHINGTON
3P00077314OTHERRAILROAD MEDICARE
47120652MEDICAIDWASHINGTON

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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