Southlake Clinic Inc Ps
Southlake Clinic Inc Ps is an Anatomic Pathology Physician in Renton, Washington. Licensed in Washington. Registered with an NPI since 2009.
- Licensed in
- WA
- In the registry since
- 2009
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 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-4710
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology Physician (primary) | Taxonomy 207ZP0101X · Licence MD00015542 (WA) |
|---|
Record details
| NPI number | 1538394234 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marianne Larson — Coo · (425) 251-5110 |
| Other names | Southlake Clinic Pathology |
| NPI enumerated | May 26, 2009 |
| Last updated in NPPES | August 6, 2012 |
| Mailing address | Po Box 59028, Renton, WA 98058-2028 |