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:
Authorized official contact:
Name: Benjamin, Brent David Doctor of Medicine (MD)
Phone: (425) 251-5168
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609830900 | NPPES |
| Washington | MEDICAID | 7045651 |
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