SOUTHLAKE CLINIC INC PS
NPI 1043368426
Clinic/Center - Ambulatory Surgical in Renton, WA
NPI Status: Active since January 08, 2007
Contact Information
4011 TALBOT ROAD SOUTH
SUITE 500
RENTON, WA
ZIP 98055
Phone: (425) 251-5110
Fax: (425) 793-4710
- Organization
- Clinic/Center
- Ambulatory Surgical
- Accepts Insurance
About SOUTHLAKE CLINIC INC PS
This page provides the complete NPI Profile along with additional information for Southlake Clinic Inc Ps, a provider established in Renton, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1043368426 assigned on January 2007. The practitioner's primary taxonomy code is 261QA1903X with license number FS.60293976 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Marianne Larson (Director Of Operations)
- NPI
- 1043368426
- Provider Name
- SOUTHLAKE CLINIC INC PS
- Entity Type
- Organization
- Location Address
- 4011 TALBOT ROAD SOUTH SUITE 500 RENTON, WA 98055
- Location Phone
- (425) 251-5110
- Location Fax
- (425) 793-4710
- Mailing Address
- PO BOX 59028 RENTON, WA 98058
- Mailing Phone
- (425) 251-5110
- Mailing Fax
- (425) 793-4710
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-08-2007
- Last Update Date
- 11-20-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- FS.60293976
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QE0800X | Ambulatory Health Care Facilities | Clinic/Center | FS.60293976 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Core Standard Gold - EPO
- Core Standard Silver - EPO
- PacificSource Oregon Standard Bronze HSA Plan Core - EPO
- PacificSource Oregon Standard Gold Plan Core - EPO
- PacificSource Oregon Standard Silver Plan Core - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7083660 | MEDICAID (05) | WA | |
| 490003337 | OTHER (01) | WA | RAILROAD MEDICARE |
| 0119463 | OTHER (01) | WA | L&I |
| 217000856 | MEDICARE PIN (08) | WA |
Reviews for SOUTHLAKE CLINIC INC PS
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1043368426, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
RENTON, WA 98055
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043368426, enumerated as an "organization" on January 08, 2007.
The provider is located at 4011 TALBOT ROAD SOUTH SUITE 500 RENTON, WA 98055 and the phone number is (425) 251-5110.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
The provider might be accepting Accepts: PacificSource Health Plans, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
