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Contact Information

ROSE CITY LABORATORIES, LLC
7200 SE JOHNSON CREEK BLVD
PORTLAND, OR97206-9332
 Phone: 503-307-0096
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Clinical & Laboratory Immunology

207KI0005X 03 Physician/Allergy/ Immunology
 

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
Indicates primary specialty

NPI Profile & details for ROSE CITY LABORATORIES, LLC

NPI Number 1306455209
LBN Legal business name ROSE CITY LABORATORIES, LLC
Authorized official DANIEL HUSON - (MANAGING MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2020
Last updated 08/05/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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