DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHLAKE CLINIC INC PS

Active Organization

SOUTHLAKE CLINIC INC PS is a Ambulatory Surgical Center organization located in RENTON, Washington. NPI 1043368426 is currently active in the NPPES registry. Verify at CMS.

Ambulatory Surgical Center · RENTON, WA

Registration Details

NPI Number
1043368426
Provider Type
Organization
NPI Issued
Jan 8, 2007 (19.584166110128 yrs)
Last Updated
Nov 20, 2012
Licenses
FS.60293976 (WA)
FS.60293976 (WA)

Practice Information

Address
4011 TALBOT ROAD SOUTH
SUITE 500
RENTON, WA, 98055
Browse WA providers · Browse ZIP 98055
Phone
4252515110
Fax
4257934710
Primary Specialty
Ambulatory Surgical Center
261QA1903X
Additional Specialty
Ambulatory Surgical Center

Other Ambulatory Surgical Center Organizations in RENTON, WA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.