REDICLINIC OF WA, LLC
NPI 1073990610
Clinic/Center in Bonney Lake, WA
- Organization
- Clinic/Center
About REDICLINIC OF WA, LLC
This page provides the complete NPI Profile along with additional information for Rediclinic Of Wa, Llc, a provider established in Bonney Lake, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1073990610 assigned on May 2015. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Danielle Barrera (Chief Operating Officer)
- NPI
- 1073990610 Verify this NPI
- Provider Name
- REDICLINIC OF WA, LLC
- Entity Type
- Organization
- Location Address
- 21302 STATE ROUTE 410 E BONNEY LAKE, WA 98391
- Location Phone
- (713) 335-1742
- Location Fax
- (713) 358-4881
- Mailing Address
- 9 GREENWAY PLZ STE. 2950 HOUSTON, TX 77046
- Mailing Phone
- (713) 335-1754
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-04-2015
- Last Update Date
- 05-04-2015
- 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
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073990610, enumerated as an "organization" on May 04, 2015.
The provider is located at 21302 STATE ROUTE 410 E BONNEY LAKE, WA 98391 and the phone number is (713) 335-1742.
Clinic/Center with taxonomy code 261Q00000X.