MEDICARE: HEMATOLOGICS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory	MTS-2910	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366408544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMATOLOGICS INC

Provider Business Mailing Address
First Line	:	PO BOX 24712
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98124-0712
Country	:	US
Telephone Number	:	206-799-9491
Fax Number	:

Provider Business Practice Location Address
First Line	:	3161 ELLIOTT AVE STE 200
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1097
Country	:	US
Telephone Number	:	206-223-2700
Fax Number	:

Authorized Official
Title or Position	:	SR REIMBURSEMENT SPECIALIST
Name	:	MRS. LISA BROOKS
Credential	:
Telephone Number	:	206-799-9491

Provider Enumeration Date	:	04/25/2006
Last Update Date	:	10/31/2011

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Directions to “HEMATOLOGICS INC ” Practice Location

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