Central Oregon Clinical Genetics Center, Llc

LBN: Central Oregon Clinical Genetics Center, Llc
Central Oregon Clinical Genetics Center, Llc is an health care organization with primary practice located at 143 Sw Shevlin Hixon Dr Suite #203, Bend OR 97702-3189. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Medical Specialty, Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Medical Specialty is the primary health care specialty. Central Oregon Clinical Genetics Center, Llc can be contacted via phone (541) 749-8196, or through Schirripa, Osvaldo Antonio via phone (541) 749-8196.

Contact Information

Primary practice address
143 Sw Shevlin Hixon Dr Suite #203 Bend OR 97702-3189
Fax: (541) 678-5466
Website:
Authorized official contact:
Name: Schirripa, Osvaldo Antonio Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X MD153157 Oregon
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X MD153157 Oregon
Laboratories / Clinical Medical Laboratory 291U00000X A46201 California

Profile Details

NPI number 1740572221
LBN Legal business name Central Oregon Clinical Genetics Center, Llc
DBA Doing business as
Authorized official Schirripa, Osvaldo Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2011
Last updated Mar 14th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740572221 NPPES
Oregon MEDICAID 500637292
Oregon MEDICAID 500637246

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