REDICLINIC OF WA, LLC
NPI 1073990610
Clinic/Center in Bonney Lake, WA

Active since May 04, 2015
21302 STATE ROUTE 410 E, BONNEY LAKE, WA 98391(713) 335-1742(713) 358-4881 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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

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).

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

DANIELLE BARRERA

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(713) 580-9489

Reviews for REDICLINIC OF WA, LLC

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Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Registered Nurse
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacy Technician
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391
Pharmacist
21302 STATE ROUTE 410 E
BONNEY LAKE, WA 98391

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.