Organization · Type 2 NPI

Providence Health & Services-Wa

Clinical Medical Laboratory · Everett, WA

NPI number 1801049127 Active

Practice location

1321 Colby Ave
Everett, WA 98201-1665

Call (800) 752-8994 Map

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	H-084 (WA)

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…

237 other providers at this address

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NPI record

NPI: 1801049127
Entity type: Organization (Type 2)
Issued: Oct 30, 2008
Last updated: May 7, 2025
Status: Active

Other names

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Providence Everett Medical Labs · doing business as
Providence Everett Medical Labs · doing business as

Authorized official

Donald Wayne Anderson
Assistant Secreatry for Enrollment
(425) 358-9786

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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 1801049127

Providence Health & Services-Wa's National Provider Identifier is 1801049127, issued on Oct 30, 2008. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Everett, WA. The record was last updated on May 7, 2025.