National Provider Identifier Database

CCA OF SPOKANE LLC
Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.


Contact Information

CCA OF SPOKANE, LLC
122 W 7TH AVE
STE 540
SPOKANE, WA99204
Phone: 509-232-0567
Fax: 509-232-0571
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X

* Indicates primary specialty

NPI Profile & details for CCA OF SPOKANE, LLC

NPI Number 1912934878
Legal business name
LBN
CCA OF SPOKANE, LLC
Authorized official JOHN COMBS - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 06/27/2006
Last updated 08/20/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: FX00057836
  • ID Medicaid: 806709200
  • WA Medicaid: 7120652
  • Other: P00077314 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CCA OF SPOKANE, LLC

There are currently no reviews for CCA OF SPOKANE, LLC


NPIdb - Home
v2.201