Legacy Laboratory Services, LLC
NPI 1902059538 · Clinical Medical Laboratory · Portland, OR
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy Laboratory Services, LLC is a Clinical Medical Laboratory organization in Portland, OR (NPI 1902059538).
Provider details
- NPI number
- 1902059538
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Legacy Emanuel Hospital and Health Center
- Organization subpart
- Yes
- Authorized official
- Pamela Vuckovich, Sr Vp and Cfo(503) 415-5730
- License
- 38D0625165 (OR)
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2009-04-14
Frequently asked questions
- What is Legacy Laboratory Services, LLC's NPI number?
- Legacy Laboratory Services, LLC's National Provider Identifier (NPI) is 1902059538, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Laboratory Services, LLC?
- Legacy Laboratory Services, LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Legacy Laboratory Services, LLC located?
- Legacy Laboratory Services, LLC's practice location on file with NPPES is 1225 Ne 2nd Ave, Portland, OR 97232-2003.
- What is Legacy Laboratory Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Legacy Laboratory Services, LLC is (503) 413-5050.
- Does Legacy Laboratory Services, LLC accept Medicare?
- Legacy Laboratory Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy Laboratory Services, LLC?
- The authorized official listed on Legacy Laboratory Services, LLC's NPPES record is Pamela Vuckovich, Sr Vp and Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Laboratory Services, LLC's NPI active?
- Yes — Legacy Laboratory Services, LLC's NPI (1902059538) is active in the NPPES registry as of the last update on 2009-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.