Southlake Clinic Inc Ps in Renton - Ambulatory Surgical
Southlake Clinic Inc Ps - NPI 1043368426
Southlake Clinic Inc Ps is a Ambulatory Surgical in Renton, Washington. Southlake Clinic Inc Ps practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Southlake Clinic Inc Ps is 1043368426. The last update date is 2012-11-20.
Southlake Clinic Inc Ps's current location address is Po Box 59028, Renton, Washington. You can contact this provider via phone number 4252515110 and fax number 4257937458. The mailing address for Southlake Clinic Inc Ps is Po Box 59028, Renton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southlake Clinic Inc Ps |
|---|---|
| Address | Po Box 59028, Renton, Washington |
| Phone Number | 4252515110 |
| Fax Number | 4257937458 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Larson Marianne |
| Telephone Number | 4252515110 |
NPI Number Detail
| NPI Number | 1043368426 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2012-11-20 |
Provider Mailing Address Detail
| Address | Po Box 59028 |
|---|---|
| City | Renton |
| State | Washington (WA) |
| Post Code | 980582028 |
| Phone Number | 4252515110 |
| Fax Number | 4257937458 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | FS.60293976 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490003337 | WA | RAILROAD MEDICARE | |
| 119463 | WA | L&I | |
| 7083660 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Southlake Clinic Inc Ps by the Centers for Medicare & Medicaid Services?
The Southlake Clinic Inc Ps has been assigned the NPI (National Provider Identifier) 1043368426 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Southlake Clinic Inc Ps is physically located?
The Southlake Clinic Inc Ps is physically situated at the following address: Po Box 59028, Renton, WA, 980582028.
What is the area of specialization for Southlake Clinic Inc Ps, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Southlake Clinic Inc Ps is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
When did the Southlake Clinic Inc Ps receive its 1043368426?
The Southlake Clinic Inc Ps was issued its 1043368426 on 2007-01-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Southlake Clinic Inc Ps most recently updated or revised?
The information pertaining to Southlake Clinic Inc Ps, including its address, specialty, and other relevant details, was last updated or revised on 2012-11-20.