PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY
NPI 1205960226
Allergy & Immunology - Clinical & Laboratory Immunology in Federal Way, WA
- Organization
- Allergy & Immunology
- Clinical & Laboratory Immunology
- CLIA Number: 50D2025752
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 04-04-2028
About PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY
This page provides the complete NPI Profile along with additional information for Puget Sound Allergy Asthma And Immunology, a provider established in Federal Way, Washington operating as a Allergy & Immunology, focusing in clinical & laboratory immunology . The healthcare provider is registered in the NPI registry with number 1205960226 assigned on March 2007. The practitioner's primary taxonomy code is 207KI0005X with license number MD00026151 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Becky Markward (Office Manager)
- NPI
- 1205960226 Verify this NPI
- Provider Name
- PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY
- Entity Type
- Organization
- Location Address
- 34509 9TH AVE S SUITE 207 FEDERAL WAY, WA 98003
- Location Phone
- (253) 662-5667
- Location Fax
- (253) 627-4296
- Mailing Address
- 1901 S UNION AVE SUITE B6010 TACOMA, WA 98405
- Mailing Phone
- (253) 383-4721
- Mailing Fax
- (253) 627-4296
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-14-2007
- Last Update Date
- 10-17-2012
- 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
Allergy & Immunology Clinical & Laboratory Immunology
- Taxonomy Code
- 207KI0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00026151
- License State
- WA
- Taxonomy Description
- An allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8864200 | MEDICARE PIN (08) | WA | |
| 8853550 | MEDICARE PIN (08) | WA | |
| GAB33753 | MEDICARE PIN (08) | WA | |
| A03350 | MEDICARE UPIN (02) | WA | |
| Q76616 | MEDICARE UPIN (02) | WA | |
| 7112261 | MEDICAID (05) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2025752
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- June 16, 2011
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- JOHN BLAIR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Puget Sound Allergy Asthma And Immunology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
FEDERAL WAY, WA 98003
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205960226, enumerated as an "organization" on March 14, 2007.
The provider is located at 34509 9TH AVE S SUITE 207 FEDERAL WAY, WA 98003 and the phone number is (253) 662-5667.
Allergy & Immunology with taxonomy code 207KI0005X and a focus in Clinical & Laboratory Immunology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
