Organization · Type 2 NPI

Bend Dermatology Clinic LLC

Clinical Medical Laboratory · Bend, OR

NPI number 1548412224 Active

Practice location

2705 NE Conners Ave
Bend, OR 97701-6904

Call (541) 382-5712 Map

Fax (541) 382-2605

Mailing address

2747 NE Conners Ave
Bend, OR 97701-8738

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	38D0628271 (OR)

Clinical Medical Laboratory: (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 det…

2 other providers at this address

Other clinical medical laboratory providers in Bend

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NPI record

NPI: 1548412224
Entity type: Organization (Type 2)
Issued: Oct 14, 2008
Last updated: May 16, 2012
Status: Active
Subpart: Yes of Bend Dermatology Clinic LLC

Other names

<unavail>
Cascadia Histopathology · doing business as

Authorized official

Mrs. Suzanne R Maitland
Administrator
(541) 322-1980

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1548412224

Bend Dermatology Clinic LLC's National Provider Identifier is 1548412224, issued on Oct 14, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Bend, OR. The record was last updated on May 16, 2012.