Southlake Clinic Inc Ps
Southlake Clinic Inc Ps is an Ambulatory Surgical Clinic/Center in Renton, Washington. Licensed in Washington. Registered with an NPI since 2007.
- Licensed in
- WA
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4011 Talbot Rd S Ste 500Renton, WA 98055
Phone: (425) 251-5110
Fax: (425) 793-4710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Ambulatory Surgical Clinic/Center (primary) | Taxonomy 261QA1903X · Licence FS.60293976 (WA) |
|---|---|
| Endoscopy Clinic/Center | Taxonomy 261QE0800X · Licence FS.60293976 (WA) |
Record details
| NPI number | 1043368426 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marianne Larson — Director Of Operations · (425) 251-5110 |
| NPI enumerated | January 8, 2007 |
| Last updated in NPPES | November 20, 2012 |
| Mailing address | Po Box 59028, Renton, WA 98058-2028 |
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