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WESTERN WASHINGTON MEDICAL GROUP INC PS NPI 1831238443


NPI Information

NPI: 1831238443
Provider Name: WESTERN WASHINGTON MEDICAL GROUP, INC PS

Doing Business As: WWMG - PATHOLOGY

Classification: Specialist/Technologist, Pathology - 246QH0600X
Entity Type: Organization

Specialization: Histology

CLIA Number: 50D0900355

Address:
4225 HOYT AVE STE A
EVERETT, WA
ZIP 98203
Phone: (425) 259-3122
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WESTERN WASHINGTON MEDICAL GROUP, INC PS is a histology specialist technologist pathology in Everett, WA. WESTERN WASHINGTON MEDICAL GROUP, INC PS NPI is 1831238443. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wwmg - Pathology.

The provider's business location address is:

4225 HOYT AVE STE A
EVERETT, WA
ZIP 98203-351
Phone: (425) 259-3122
Fax: (425) 252-9860

The provider's authorized official is Amelia Edens .
The authorized official title is Director Of Patient Financial Svcs and has the following contact phone number (425) 740-4142.

The CLIA number assigned to this NPI record is 50D0900355 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/6/2007 and was last updated on 8/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246QH0600XSpecialist/Technologist, PathologyHistologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1601474013OTHERWASHINGTONBUSINESS LICENSE
27137474MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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