Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northwest Surgical Development of Bellevue LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1578970117

Northwest Surgical Development of Bellevue LLC is an Ambulatory Surgical Clinic/Center in Bellevue, Washington. Licensed in Washington. Registered with an NPI since 2014.

Licensed in
WA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

636 120th Ave NE Ste 202
Bellevue, WA 98005-3028
Phone: (425) 454-2410
Fax: (425) 454-2259
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence ASF.FS.60329939 (WA)

Record details

NPI number1578970117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Haefner — Ceo · (949) 600-9931
Other names Athenix Body Sculpting Institute
NPI enumeratedJuly 15, 2014
Last updated in NPPESFebruary 10, 2015
Mailing address65 Enterprise Ste 125, Aliso Viejo, CA 92656-2706

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