North West Clinical Laboratory

LBN: Evgeny I Fedotov
North West Clinical Laboratory is an health care organization with primary practice located at 6629 Ne 82Nd Ave Suite 203, Portland OR 97220-1346. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Evgeny I Fedotov can be contacted via phone (503) 756-8159, or through Fedotov, Evgeny I via phone (503) 252-5042.

Contact Information

Primary practice address
6629 Ne 82Nd Ave Suite 203 Portland OR 97220-1346
Phone: (503) 756-8159
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fedotov, Evgeny I
Phone: (503) 252-5042

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X Oregon

Profile Details

NPI number 1962412510
LBN Legal business name Evgeny I Fedotov
DBA Doing business as North West Clinical Laboratory
Authorized official Fedotov, Evgeny I
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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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