Baseline Laboratory Services
Clinical Medical Laboratory in Medford, OR. Organization (NPI-2).
Details
- NPI
- 1043906985
- Entity type
- Organization (NPI-2)
- Legal business name
- Baseline Laboratory Services
- Organization subpart
- Yes
- Enumeration date
- Apr 13, 2023
- Certification date
- Aug 18, 2023
- Last updated
- Aug 22, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
537 Murphy Rd Ste BMedford, OR 97504-8187
Phone 541-414-0362 · Fax 541-200-2269
Mailing address
1744 E McAndrews Rd Ste DMedford, OR 97504-5576
Phone 541-414-0362 · Fax 541-200-2269
Authorized official
Margarita R Moore
Credentialing
5414140362
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Clinical Medical Laboratory providers in Medford · All 5,435 providers in Medford
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