{"npi":"1568068609","type":"NPI-2","status":"active","name":{"display":"Certified Lab Services","other":[],"organization_name":"CERTIFIED LAB SERVICES","authorised_official":"Jennifer Wallace"},"specialty":{"primary_taxonomy":"291U00000X","primary_taxonomy_description":"Clinical Medical Laboratory","slug":"clinical-medical-laboratory","schema_org_specialty":"Pathology","all":[{"code":"305S00000X","description":"Point of Service","primary":false,"state":null,"license":null},{"code":"251K00000X","description":"Public Health or Welfare Agency","primary":false,"state":null,"license":null},{"code":"261QC1500X","description":"Community Health Clinic/Center","primary":false,"state":null,"license":null},{"code":"251E00000X","description":"Home Health Agency","primary":false,"state":null,"license":null},{"code":"253Z00000X","description":"In Home Supportive Care Agency","primary":false,"state":null,"license":null},{"code":"261QM2500X","description":"Medical Specialty Clinic/Center","primary":false,"state":null,"license":null},{"code":"310400000X","description":"Assisted Living Facility","primary":false,"state":null,"license":null},{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3123 FAIRVIEW AVE E STE 200","city":"SEATTLE","state":"WA","postal_code":"981023051","country_code":"US","phone":"4806857530","fax":"4809008853"},{"purpose":"MAILING","street_1":"3123 FAIRVIEW AVE E STE 200","city":"SEATTLE","state":"WA","postal_code":"981023051","country_code":"US","phone":"4806857530","fax":"4809008853"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"03D2197602","state":"AZ","issuer":"US DEPT OF HEALTH AND HUMAN SERVICES"},{"type_code":"01","label":"Other","value":"PC61547365","state":"WA","issuer":"PHLEBOTOMIST LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2020-12-04","last_updated":"2026-05-19","_meta":{"source":"NPPES","snapshot_date":"2026-05-19","doc_url":"https://findmynpi.com/api"}}