SOUND FAMILY SENIOR CLINIC PLLC
NPI 1174116123
Family Medicine - Adult Medicine in Puyallup, WA

Active since February 19, 2021CLIA 50D2217047 · Waiver
3909 10TH ST SE, PUYALLUP, WA 98374(253) 848-5951 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sound Family Senior Clinic Pllc NPPES

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

SOUND FAMILY SENIOR CLINIC PLLC (NPI 1174116123) is a healthcare organization registered as an adult medicine in Puyallup, Washington and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sean Stout, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174116123
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameSOUND FAMILY SENIOR CLINIC PLLC
Location Address3909 10TH ST SEPuyallup, WA 98374-2189
Mailing Address2904 4th Ave NePuyallup, WA 98372-7053 · (253) 848-5951
Organization SubpartYesParent: South Hill Family Medicine Pc
Authorized OfficialSean StoutMedical Director · (253) 286-3234
Enumeration DateFebruary 19, 2021
NPPES CertifiedFebruary 19, 2021
NPI 1174116123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3909 10TH ST SE, Puyallup, WA 98374

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

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 50D2217047

Sound Family Senior Clinic · Puyallup, WA
Active · expires Apr 4, 2028
CLIA Number50D2217047
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMarc L. Aversa
Laboratory Phone(253) 848-5951
Laboratory LocationSound Family Senior Clinic3909 10th St SE, Puyallup, WA 98374
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3909 10TH ST SE, SUITE 2
PUYALLUP, WA 98374

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 Sound Family Senior Clinic PLLC's NPI number?

The NPI number for Sound Family Senior Clinic PLLC is 1174116123. It was assigned to this organization in the NPPES registry on February 19, 2021.

Where is Sound Family Senior Clinic PLLC located?

Sound Family Senior Clinic PLLC is located at 3909 10th St SE, Puyallup, WA 98374. The listed phone number is (253) 848-5951.

What is Sound Family Senior Clinic PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Does Sound Family Senior Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2217047) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sound Family Senior Clinic PLLC was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.