Organization · Type 2 NPI
Southlake Clinic Inc PS
Ambulatory Surgical Clinic/Center · Renton, WA
NPI number
1043368426
Active
Practice location
4011 Talbot Road South, Suite 500
Renton, WA 98055
Fax (425) 793-4710
Mailing address
PO Box 59028
Renton, WA 98058-2028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | FS.60293976 (WA) |
| Endoscopy Clinic/Center | 261QE0800X | FS.60293976 (WA) |
Ambulatory Surgical Clinic/Center: Definition to come...
8 other providers at this address
- Anna L. Lien, ARNPNurse Practitioner Renton, WA NPI 1558332700
- Frank J. Thomas Jr., MDGastroenterology Physician Renton, WA NPI 1952483943
- George L. Dolack, MDClinical Cardiac Electrophysiology Physician Renton, WA NPI 1326122268
- John W. Nemanich, MDCardiovascular Disease Physician Renton, WA NPI 1275618720
- Michael Martin, MDCardiovascular Disease Physician Renton, WA NPI 1962587311
- Rajib Choudhury, MDCardiovascular Disease Physician Renton, WA NPI 1447335401
- Terence A. Block, MDCardiovascular Disease Physician Renton, WA NPI 1376628354
- William A. Pearce, MDGastroenterology Physician Renton, WA NPI 1750463758
Other ambulatory surgical clinic/center providers in Renton
- SMC Day SurgeryAmbulatory Surgical Clinic/Center Renton, WA NPI 1033117270
- Ankle & Foot Clinic of RentoAmbulatory Surgical Clinic/Center Renton, WA NPI 1205903515
- Valley Eye and Laser Center, Inc.,p.s.Ambulatory Surgical Clinic/Center Renton, WA NPI 1225230634
- Proliance Surgeons Inc PSAmbulatory Surgical Clinic/Center Renton, WA NPI 1316109309
- Proliance Surgery Center at Valley, LLCAmbulatory Surgical Clinic/Center Renton, WA NPI 1356965750
- Valley Cataract Surgery LLCAmbulatory Surgical Clinic/Center Renton, WA NPI 1639890122
- Proliance Surgeons, Inc., P.s.Ambulatory Surgical Clinic/Center Renton, WA NPI 1750321006
- North Pacific Dermatology PSAmbulatory Surgical Clinic/Center Renton, WA NPI 1881845907
About NPI 1043368426
Southlake Clinic Inc PS's National Provider Identifier is 1043368426, issued on Jan 8, 2007. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Renton, WA. The record was last updated on Nov 20, 2012.