Optum - Gunderson
LBN: Optum Care Washington Pllc
Optum - Gunderson is an health care organization with primary practice located at 3927 Rucker Ave , Everett WA 98201-4833. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty.
Optum Care Washington Pllc can be contacted via phone (425) 259-0966, or through Go, George via phone (425) 259-0966.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | 50D0662650 | Washington |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1316099401 |
|---|---|
| LBN Legal business name | Optum Care Washington Pllc |
| DBA Doing business as | Optum - Gunderson |
| Authorized official | Go, George Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Apr 9th, 2024 - about 5 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316099401 | NPPES |
| Washington | Other | 33000 | L&I |
| Washington | MEDICAID | 7776503 | L&I |
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