MEDICARE: CELLNETIX LABS, LLC

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	50D1067441	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	50D1067441	OTHER	WA	CLIA #
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MTS-5084	OTHER	WA	MEDICAL TEST SITE

General Provider Information

NPI Number	:	1407060411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELLNETIX LABS, LLC

Provider Business Mailing Address
First Line	:	1124 COLUMBIA ST
Second Line	:	SUITE 200
City	:	SEATTLE
State	:	WA
Zip	:	98104-2026
Country	:	US
Telephone Number	:	206-576-6138
Fax Number	:	206-215-6090

Provider Business Practice Location Address
First Line	:	12501 E MARGINAL WAY S STE 200
Second Line	:
City	:	TUKWILA
State	:	WA
Zip	:	98168-2560
Country	:	US
Telephone Number	:	206-576-6138
Fax Number	:	206-215-6090

Authorized Official
Title or Position	:	CFO
Name	:	MR. DAVID KIEHN
Credential	:
Telephone Number	:	206-576-6138

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/07/2020

Similar Medicare Providers

1700924461 — STEPHEN ACHUFF ARNP
Practice Location Address:

12501 E MARGINAL WAY S
TUKWILA, WA
98168-2560

Practice Phone: 206-901-2200
Practice Fax:

1477688901 — ELIZABETH DELEEUW
Practice Location Address:

12501 E MARGINAL WAY S
TUKWILA, WA
98168-2560

Practice Phone: 206-901-6019
Practice Fax: 206-901-2204

1093936478 — MR. RONALD EDWARD MARONDE R.PH.
Practice Location Address:

12501 E MARGINAL WAY S , SUITE E245
TUKWILA, WA
98168-2560

Practice Phone: 206-901-2200
Practice Fax:

1134327570 — WAI MAN JOANA AO RPH
Practice Location Address:

12501 E MARGINAL WAY S
TUKWILA, WA
98168-2560

Practice Phone: 206-901-2200
Practice Fax:

1528241544 — MR. GERALD DANIEL TO R.PH.
Practice Location Address:

12501 E MARGINAL WAY S
TUKWILA, WA
98168-2560

Practice Phone: 425-290-2435
Practice Fax:

1104665090 — ELIZABETH HOWE SHAW
Practice Location Address:

13030 MILITARY RD S STE 200
TUKWILA, WA
98168-3001

Practice Phone: 206-439-3289
Practice Fax: 206-439-3273

Directions to “CELLNETIX LABS, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.