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 Anatomic Pathology organization located in RENTON, Washington. NPI 1538394234 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology · RENTON, WA

Registration Details

NPI Number
1538394234
Provider Type
Organization
NPI Issued
May 26, 2009 (17.24495855448 yrs)
Last Updated
Aug 6, 2012
License
MD00015542 (WA)

Practice Information

Address
4011 TALBOT RD S
SUITE 500
RENTON, WA, 980555773
Browse WA providers · Browse ZIP 98055
Phone
4252515110
Fax
4257934710
Primary Specialty
Anatomic Pathology
207ZP0101X
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.