Eastside Pathology Inc Ps

LBN: Eastside Pathology Inc Ps
Eastside Pathology Inc Ps is an health care organization with primary practice located at 1035 116Th Ave Ne , Bellevue WA 98004-4604. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is the primary health care specialty. Eastside Pathology Inc Ps can be contacted via phone (425) 688-5000, or through Benjamin, Brent David via phone (425) 251-5168.

Contact Information

Primary practice address
1035 116Th Ave Ne Bellevue WA 98004-4604
Phone: (425) 688-5000
Fax: (425) 688-5959
Website:
Map and Directions
Authorized official contact:
Name: Benjamin, Brent David Doctor of Medicine (MD)
Phone: (425) 251-5168

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X MD00032601 Washington
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD00032601 Washington
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00041011 Washington

Profile Details

NPI number 1609830900
LBN Legal business name Eastside Pathology Inc Ps
DBA Doing business as
Authorized official Benjamin, Brent David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 6th, 2008 - about 16 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 1609830900 NPPES
Washington MEDICAID 7045651

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