Evergreen Diagnostics, Llc, NPI 1568434025
Clinical Medical Laboratory in Roseburg, OR, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1568434025 |
| NPI Entity Type | Organization |
| Provider Name | Evergreen Diagnostics, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 2570 Nw Edenbower Blvd, Suite 100, Roseburg, OR, US |
| Provider Mailing Address | 2570 Nw Edenbower Blvd, Ste 100, Roseburg, OR, US, 974716214 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | DR. MD Timothy Powell |
| Official Position | PRESIDENT |
| Phone | 541-229-3301 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Clinical Medical Laboratory |
| Classification | |
| Group | |
| Description | (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 213560 | OR | MEDICAID | 05 |
| J8799-01 | OR | GROUP PACIFIC SOURCE | 01 |
| 610550200 | OR | GROUP OWCP | 01 |
| 845023000 | OR | GROUP BLUE CROSS | 01 |
Other Providers in OR, US
| NPI | Name | Taxonomy | Address |
|---|---|---|---|
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MS, RD, LD Lucy Ramquist Individual |
2891 Se Division St Apt 2 |
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DR. PSY.D Thaen Chiam Saelee Individual |
3806 Tillicum Ln |
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MR. MD Nathaniel Justin Kelly Individual |
Student in an Organized Health Care Education/Training Program |
500 Sw Ramsey |
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MR. RPH Emmanuel Chukwuemeka Amadi Individual |
7440 N Denver Ave |
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Chelsea Walker Individual |
2800 Sw Peaceful Ln |
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Torrey A Thille Individual |
2306 Ne Glisan St Ste 200 |
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Northern Pediatrics Llc Organization |
850 Ne 122nd Ave |
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MD Anh Linh Hoang Individual |
850 Ne 122nd Ave |
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BCBA, LBA Steven Hardy Individual |
1675 Sw Marlow Ave Ste 200 |
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DR. PHD Mark R Mcminn Individual |
18703 Ne Williamson Rd |
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Shelby Ramer Individual |
435 Nw 17th St |
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Karyssa Ann Endecott Individual |
435 Ne Evans St Ste A |
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FNP-BC Yvonne Renee Martenia Individual |
1819 Nebraska Ave |
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DR. DMD Rachel Lynn Mendazona Individual |
199 Sw Shevlin Hixon Dr Ste A |
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Nicolle Asencio Individual |
Student in an Organized Health Care Education/Training Program |
19500 Se Stark St |
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Talia Elizabeth Miller Individual |
8915 Sw Center St |
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MD Sherilyn M Destefano Individual |
4411 Sw Vermont St |
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The Counseling Place Llc Organization |
745 Cleveland St |
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PA-C Sara J Wright Individual |
7033 Ne Sandy Blvd |
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LCSW Victoria Harris Individual |
2650 Suzanne Way Ste 120 |
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