DR. ROB KILLIAN
NPI 1073872099
Clinic/Center - Health Service in Seattle, WA

Active since May 11, 2012CLIA 50D2042456 · Waiver
901 BOREN AVE STE 712, SEATTLE, WA 98104(206) 568-6320(206) 329-2092 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 50D2042456
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About DR. ROB KILLIAN

This page provides the complete NPI Profile along with additional information for Dr. Rob Killian, a provider established in Seattle, Washington operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1073872099 assigned on May 2012. The practitioner's primary taxonomy code is 261QH0100X with license number 603198284 (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 Dr. Robert K Killian M.d. (Owner)

NPI
1073872099 Verify this NPI
Provider Name
DR. ROB KILLIAN
Entity Type
Organization
Location Address
901 BOREN AVE STE 712 SEATTLE, WA 98104
Location Phone
(206) 568-6320
Location Fax
(206) 329-2092
Mailing Address
901 BOREN AVE STE 712 SEATTLE, WA 98104
Mailing Phone
(206) 568-6320
Mailing Fax
(206) 329-2092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2012
Last Update Date
05-11-2012
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
603198284
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ROBERT K KILLIAN M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(206) 568-6320

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
G28134MEDICARE UPIN (02)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D2042456
Facility Type
Physician Office
Certificate Effective Date
June 13, 2012
Certificate Expiration Date
April 04, 2028
Laboratory Director
ROBERT KILLIAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Dr. Rob Killian to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for DR. ROB KILLIAN

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
901 BOREN AVE STE 712
SEATTLE, WA 98104
Physical Medicine & Rehabilitation (Pain Medicine)
901 BOREN AVE STE 712
SEATTLE, WA 98104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073872099, enumerated as an "organization" on May 11, 2012.

The provider is located at 901 BOREN AVE STE 712 SEATTLE, WA 98104 and the phone number is (206) 568-6320.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.