Providence Health & Services Washington
NPI 1902141500 · Clinical Medical Laboratory · Spokane, WA
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Providence Health & Services Washington is a Clinical Medical Laboratory organization in Spokane, WA (NPI 1902141500).
Provider details
- NPI number
- 1902141500
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Donald Anderson, Assistant Secretary of Enrollments(425) 358-9786
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
143,824 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 29,395 | $9 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 14,788 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 10,879 | $13 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 9,443 | $8 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 7,824 | $16 |
| Hemoglobin A1c Level83036 | 7,352 | $9 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Providence Medical Group Lab- Physicians Clinic
- Doing business as
- Providence Medical Group Lab- Physicians Clinic
Registry dates
- Enumerated
- 2012-12-07
- Last updated
- 2025-05-05
- Certified
- 2025-05-05
Frequently asked questions
- What is Providence Health & Services Washington's NPI number?
- Providence Health & Services Washington's National Provider Identifier (NPI) is 1902141500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Providence Health & Services Washington?
- Providence Health & Services Washington is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Providence Health & Services Washington located?
- Providence Health & Services Washington's practice location on file with NPPES is 820 S Mcclellan St Ste Ll10, Spokane, WA 99204-2446.
- What is Providence Health & Services Washington's phone number?
- The practice phone number listed in the NPPES registry for Providence Health & Services Washington is (509) 353-4260.
- Does Providence Health & Services Washington accept Medicare?
- Providence Health & Services Washington 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 Providence Health & Services Washington?
- The authorized official listed on Providence Health & Services Washington's NPPES record is Donald Anderson, Assistant Secretary of Enrollments. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Providence Health & Services Washington's NPI active?
- Yes — Providence Health & Services Washington's NPI (1902141500) is active in the NPPES registry as of the last update on 2025-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.