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1588662084

NPI Code Detail

MEDICARE: BLOODWORKS

MEDICARE: BLOODWORKS

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	331L00000X	Blood Bank		WA
2	3336S0011X	Specialty Pharmacy	PHWH.FX.60073065	WA
3	291U00000X	Clinical Medical Laboratory	FX00004065	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	G-0001662200	OTHER		MEDICARE PTAN
4	DO099	OTHER		RR MEDICARE

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588662084
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BLOODWORKS

Provider Business Mailing Address
First Line	:	921 TERRY AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1239
Country	:	US
Telephone Number	:	206-292-6500
Fax Number	:	206-689-8365

Provider Business Practice Location Address
First Line	:	921 TERRY AVE
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-1239
Country	:	US
Telephone Number	:	206-292-6500
Fax Number	:	206-689-8365

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. ROBERT GLEASON
Credential	:
Telephone Number	:	206-689-6680

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	05/18/2015

Similar Medicare Providers

1164508966 — NEIL C JOSEPHSON MD
Practice Location Address:

921 TERRY AVE
SEATTLE, WA
98104-1239

Practice Phone: 206-292-6570
Practice Fax:

1952487613 — THOMAS H PRICE M.D,
Practice Location Address:

921 TERRY AVE
SEATTLE, WA
98104-1239

Practice Phone: 206-292-6500
Practice Fax:

1972705622 — KAREN ANN NELSON PH.D.
Practice Location Address:

921 TERRY AVE
SEATTLE, WA
98104-1239

Practice Phone: 206-689-6549
Practice Fax: 206-689-6582

1538345459 — DR. ARTHUR R. THOMPSON MD, PHD
Practice Location Address:

921 TERRY AVE
SEATTLE, WA
98104-1239

Practice Phone: 206-292-6570
Practice Fax: 206-292-8030

1295986586 — ANNE JEZZAMINE YEE CHOI ARNP
Practice Location Address:

921 TERRY AVE
SEATTLE, WA
98104-1239

Practice Phone: 206-292-6507
Practice Fax:

1831421460 — MR. CHESTER ALAN LUBRIN FLORES MLS(ASCP)
Practice Location Address:

921 TERRY AVE
SEATTLE, WA
98104-1239

Practice Phone: 206-292-6525
Practice Fax:

Directions to “BLOODWORKS ” 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.

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