Southlake Clinic Inc Ps in Renton - Durable Medical Equipment & Medical Supplies
Southlake Clinic Inc Ps - NPI 1386800753
Southlake Clinic Inc Ps is a Durable Medical Equipment & Medical Supplies in Renton, Washington. Southlake Clinic Inc Ps practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Southlake Clinic Inc Ps is 1386800753. The last update date is 2010-05-17.
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 | CHIEF OPER |
|---|---|
| Authorized Official Name | Larson Marianne |
| Telephone Number | 4252515110 |
NPI Number Detail
| NPI Number | 1386800753 |
|---|---|
| Provider Enumeration Date | 2008-08-05 |
| Last Updated Date | 2010-05-17 |
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 | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
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Definition: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. |
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What is the unique 10-digit identification 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) 1386800753 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Southlake Clinic Inc Ps located?
The Southlake Clinic Inc Ps is located at Po Box 59028, Renton, WA 980582028.
What is the Southlake Clinic Inc Ps's area of specialization and corresponding taxonomy classification?
The Southlake Clinic Inc Ps's specialty field is Durable Medical Equipment & Medical Supplies, and it falls under the taxonomy code 332B00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1386800753 to Southlake Clinic Inc Ps?
The Centers for Medicare & Medicaid Services originally issued the 1386800753 to Southlake Clinic Inc Ps on 2008-08-05.
When was the information pertaining to Southlake Clinic Inc Ps most recently updated or revised?
The details related to Southlake Clinic Inc Ps, including its address, specialty, and other relevant information, were last updated or revised on 2010-05-17.