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Evgeny I Fedotov

Clinical Medical Laboratory in Portland, OR · enumerated 2006 · authorized official Evgeny Fedotov, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962412510

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Registry record

Entity type Organization (Type 2)
Legal business name Evgeny I Fedotov
Other name <Unavail>
Practice address 6629 Ne 82nd Ave, Suite 203, Portland, OR, 97220
Phone (503) 756-8159
Enumeration date Aug 8, 2006
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Evgeny Fedotov
Title President
Phone (503) 252-5042

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Evgeny I Fedotov?
The NPI for Evgeny I Fedotov is 1962412510, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evgeny I Fedotov?
NPPES lists Evgeny Fedotov (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.