Provider Demographics
NPI:1659985604
Name:NORTHWEST COVID TESTING LLC
Entity Type:Organization
Organization Name:NORTHWEST COVID TESTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:MELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARIUKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:425-496-4444
Mailing Address - Street 1:8720 MADRONA LN
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-8653
Mailing Address - Country:US
Mailing Address - Phone:425-496-4444
Mailing Address - Fax:
Practice Address - Street 1:8720 MADRONA LN
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-8653
Practice Address - Country:US
Practice Address - Phone:425-496-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty