THE POLYCLINIC PLASTIC SURGERY CENTER
NPI 1073944039
Clinic/Center - Ambulatory Surgical in Seattle, WA

Active since December 02, 2013CLIA Certified · 2 labs
1229 MADISON ST, SUITE 1660, SEATTLE, WA 98104(206) 860-5582 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, May 1, 2024 (2 updates tracked since 2024).

About The Polyclinic Plastic Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE POLYCLINIC PLASTIC SURGERY CENTER (NPI 1073944039) is a healthcare organization registered as an ambulatory surgical in Seattle, Washington and active in the NPI registry since December 2013. The organization holds 2 active CLIA laboratory certificates and lists Craig Pepin, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1073944039
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE POLYCLINIC
Location Address1229 MADISON ST, SUITE 1660Seattle, WA 98104-3586
Mailing Address1229 Madison St, Suite 1660Seattle, WA 98104-3586 · (206) 860-5582
Organization SubpartNo
Authorized OfficialCraig PepinPhysician/owner · (206) 860-5414
Enumeration DateDecember 2, 2013
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
NPI 1073944039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1229 MADISON ST, Seattle, WA 98104

Other Names 1

Other NameThe Polyclinic Plastic Surgery Center

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2075838

The Polyclinic Plastic Surgery Center · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D2075838
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 7, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAlbert Cabrera
Laboratory Phone(206) 860-5582
Laboratory LocationThe Polyclinic Plastic Surgery Center1229 Madison St Ste 1660-3590, Seattle, WA 98104
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 50D0631667

The Polyclinic, Dba Optum Care Washington · Seattle, WA
Active · expires Apr 4, 2028
CLIA Number50D0631667
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNeelima Kandula
Laboratory Phone(206) 860-4400
Laboratory LocationThe Polyclinic, Dba Optum Care Washington904 7th Ave, Seattle, WA 98104
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Neonatal-Perinatal Medicine)
1229 MADISON ST, STE 750
SEATTLE, WA 98104
Anesthesiology
1229 MADISON ST, SUITE 1440
SEATTLE, WA 98104
Anesthesiology
1229 MADISON ST, SUITE 1440
SEATTLE, WA 98104
Anesthesiology
1229 MADISON ST, SUITE 1440
SEATTLE, WA 98104
Obstetrics & Gynecology
1229 MADISON ST, STE 1500
SEATTLE, WA 98104
Clinic/Center (Ambulatory Surgical)
1229 MADISON ST, SUITE 1480
SEATTLE, WA 98104
Anesthesiology
1229 MADISON ST, SUITE 1440
SEATTLE, WA 98104
Registered Nurse (Medical-Surgical)
1229 MADISON ST, SUITE 1600
SEATTLE, WA 98104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Polyclinic's NPI number?

The NPI number for The Polyclinic is 1073944039. It was assigned to this organization in the NPPES registry on December 2, 2013. The provider is also known as The Polyclinic Plastic Surgery Center.

Where is The Polyclinic located?

The Polyclinic is located at 1229 Madison St Suite 1660, Seattle, WA 98104. The listed phone number is (206) 860-5582.

What is The Polyclinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does The Polyclinic hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does The Polyclinic accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list The Polyclinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Polyclinic was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.