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HANMI MEDICAL CLINIC LLC
NPI 1114042447
Family Medicine in Lakewood, WA

Active since March 19, 2007CLIA 50D0720664 · Waiver
9115 S TACOMA WAY STE 105, LAKEWOOD, WA 98499(253) 581-4564(253) 581-6484 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hanmi Medical Clinic Llc NPPES

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

HANMI MEDICAL CLINIC LLC (NPI 1114042447) is a healthcare organization registered as a family medicine in Lakewood, Washington and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Moo Keun Lee, Doctor, as its authorized official.

NPPES Registry Identity

NPI1114042447
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHANMI MEDICAL CLINIC LLC
Location Address9115 S TACOMA WAY STE 105Lakewood, WA 98499-4400
Mailing Address9115 S Tacoma Way Ste 105Lakewood, WA 98499-4400 · (253) 581-4564 · Fax (253) 581-6484
Phone(253) 581-4564
Fax(253) 581-6484
Organization SubpartNo
Authorized OfficialMoo Keun LeeDoctor · (253) 581-4564
Enumeration DateMarch 19, 2007
Last NPPES UpdateJune 24, 2010
✔ NPI 1114042447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · 22482
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9115 S TACOMA WAY STE 105, Lakewood, WA 98499
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Other Identifiers 3

Medicare UPINAO8701WA
Medicare ID-Type Unspecified001001440WA
Medicaid1020536WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 50D0720664

Hanmi Medical Clinic LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D0720664
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 1992
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMoo K. Lee
Laboratory Phone(253) 581-4564
Laboratory LocationHanmi Medical Clinic LLC9115 South Tacoma Way S, Suite 105, Tacoma, WA 98499
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

DR. MOO K LEE M.D.
Family Medicine
9115 S TACOMA WAY STE 105
LAKEWOOD, WA 98499
Pierce County (253) 581-4564
JONGSOO LEE MD
Internal Medicine (Gastroenterology)
9115 S TACOMA WAY STE 105
LAKEWOOD, WA 98499
Pierce County (253) 581-4564

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 Hanmi Medical Clinic LLC's NPI number?

The NPI number for Hanmi Medical Clinic LLC is 1114042447. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Hanmi Medical Clinic LLC located?

Hanmi Medical Clinic LLC is located at 9115 S Tacoma Way Ste 105, Lakewood, WA 98499. The listed phone number is (253) 581-4564.

What is Hanmi Medical Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hanmi Medical Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D0720664) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hanmi Medical Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Hanmi Medical Clinic LLC 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 Hanmi Medical Clinic LLC was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.