1043368426 SOUTHLAKE CLINIC INC PS

Ambulatory Surgical Clinic/Center

Active

Basic Information

Organization Name
SOUTHLAKE CLINIC INC PS
Enumeration Date
January 8, 2007
Last Update
November 20, 2012
Authorized Official
MARIANNE LARSON
DIRECTOR OF OPERATIONS
Phone: (425) 251-5110

Practice Location

Address
4011 TALBOT ROAD SOUTH
SUITE 500
RENTON, WA 98055
Phone
(425) 251-5110
Fax
(425) 793-4710

Mailing Address

Address
PO BOX 59028
RENTON, WA 980582028
Phone
(425) 251-5110
Fax
(425) 793-7458

Specialties & Taxonomies

Specialty Code Classification License State Primary
Endoscopy Clinic/Center
Endoscopy
 261QE0800X Clinic/Center FS.60293976 WA No
Ambulatory Surgical Clinic/Center
Ambulatory Surgical
 261QA1903X Clinic/Center FS.60293976 WA Primary

Other Identifiers

Identifier Type State Issuer
490003337 01 WA RAILROAD MEDICARE
0119463 01 WA L&I
7083660 05 WA N/A

Frequently Asked Questions

What is SOUTHLAKE CLINIC INC PS's NPI number?
SOUTHLAKE CLINIC INC PS's NPI number is 1043368426.
Which doctor has NPI number 1043368426?
The doctor with NPI number 1043368426 is SOUTHLAKE CLINIC INC PS.
What is SOUTHLAKE CLINIC INC PS's practice address?
SOUTHLAKE CLINIC INC PS's practice address is 4011 TALBOT ROAD SOUTH, SUITE 500, RENTON, WA, 98055.
Which doctor practices at 4011 TALBOT ROAD SOUTH, SUITE 500, RENTON, WA, 98055?
SOUTHLAKE CLINIC INC PS practices at 4011 TALBOT ROAD SOUTH, SUITE 500, RENTON, WA, 98055.
What is SOUTHLAKE CLINIC INC PS's mailing address?
SOUTHLAKE CLINIC INC PS's mailing address is PO BOX 59028, RENTON, WA, 980582028.
What is SOUTHLAKE CLINIC INC PS's phone number?
SOUTHLAKE CLINIC INC PS's phone number is (425) 251-5110.
Who is (425) 251-5110?
(425) 251-5110 is the phone number for SOUTHLAKE CLINIC INC PS.
What is SOUTHLAKE CLINIC INC PS's specialty?
SOUTHLAKE CLINIC INC PS's specialty is Ambulatory Surgical Clinic/Center.
What type of doctor is SOUTHLAKE CLINIC INC PS?
SOUTHLAKE CLINIC INC PS is a Ambulatory Surgical Clinic/Center.
Is SOUTHLAKE CLINIC INC PS a Ambulatory Surgical?
Yes, SOUTHLAKE CLINIC INC PS is a Ambulatory Surgical.
Is SOUTHLAKE CLINIC INC PS still practicing?
Yes, SOUTHLAKE CLINIC INC PS is currently practicing.
Is SOUTHLAKE CLINIC INC PS accepting new patients?
SOUTHLAKE CLINIC INC PS may be accepting new patients. Please call their office at (425) 251-5110 to inquire about availability.
Is NPI 1043368426 still active?
Yes, NPI 1043368426 is currently active.
Where does SOUTHLAKE CLINIC INC PS practice?
SOUTHLAKE CLINIC INC PS practices in RENTON, WA.