Portland Tissue Processing Laboratory, Inc. in Portland - Clinical Medical Laboratory
Portland Tissue Processing Laboratory, Inc. - NPI 1154454718
Portland Tissue Processing Laboratory, Inc. is a Clinical Medical Laboratory in Portland, Oregon. Portland Tissue Processing Laboratory, Inc. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Portland Tissue Processing Laboratory, Inc. is 1154454718. The last update date is 2012-02-29.
Portland Tissue Processing Laboratory, Inc.'s current location address is 5012 Ne 42nd Ave, Portland, Oregon. You can contact this provider via phone number 5032877721 and fax number 5032877728. The mailing address for Portland Tissue Processing Laboratory, Inc. is 5012 Ne 42nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portland Tissue Processing Laboratory, Inc. |
|---|---|
| Address | 5012 Ne 42nd Ave, Portland, Oregon |
| Phone Number | 5032877721 |
| Fax Number | 5032877728 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS M |
|---|---|
| Authorized Official Name | Robertson Palomo Jane |
| Telephone Number | 5032877721 |
NPI Number Detail
| NPI Number | 1154454718 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2012-02-29 |
Provider Mailing Address Detail
| Address | 5012 Ne 42nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972181504 |
| Phone Number | 5032877721 |
| Fax Number | 5032877728 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 38D1063205 |
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Definition: (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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 300899101 | OR | REGENCE HMO OREGON | |
| 7108244 | WA | WA - DSHS | |
| KE4600 | OR | HEALTH NET | |
| 125786 | WA | DEPT. OF LABOR & INDUSTRY | |
| 131313 | OR | -- | |
| 410930 | OH | PROVIDENCE HEALTH PLANS | |
| 1135000 | OR | REGENCE BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Portland Tissue Processing Laboratory, Inc. by the Centers for Medicare & Medicaid Services?
The Portland Tissue Processing Laboratory, Inc. has been issued the NPI (National Provider Identifier) 1154454718. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Portland Tissue Processing Laboratory, Inc.'s physical address?
The Portland Tissue Processing Laboratory, Inc. is physically located at 5012 Ne 42Nd Ave, in the city of Portland, OR, with the postal code 972181504.
What is Portland Tissue Processing Laboratory, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Portland Tissue Processing Laboratory, Inc. is Clinical Medical Laboratory, and the corresponding taxonomy classification code for this specialized field is 291U00000X.
On what date was the 1154454718 assigned to Portland Tissue Processing Laboratory, Inc.?
The Portland Tissue Processing Laboratory, Inc. was issued its 1154454718 on 2007-03-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Portland Tissue Processing Laboratory, Inc.'s information last updated?
The Portland Tissue Processing Laboratory, Inc.'s information was last updated on 2012-02-29.