OLYMPIA SURGERY CENTER
NPI 1215464979
Clinic/Center - Ambulatory Surgical in Olympia, WA

Active since May 12, 2017CLIA 50D1082613 · Waiver
155 LILLY RD NE, SUITE 2, OLYMPIA, WA 98506(425) 774-1538 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Olympia Surgery Center NPPES

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

OLYMPIA SURGERY CENTER (NPI 1215464979) is a healthcare organization registered as an ambulatory surgical in Olympia, Washington and active in the NPI registry since May 2017. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Jae Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215464979
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWASHINGTON CENTER FOR PAIN MANAGEMENT PLLC
Location Address155 LILLY RD NE, SUITE 2Olympia, WA 98506-5028
Mailing AddressPo Box 827Bellevue, WA 98009-0827 · (425) 774-1538
Organization SubpartNo
Authorized OfficialJae LeeCeo · (425) 774-1538
Enumeration DateMay 12, 2017
NPI 1215464979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
155 LILLY RD NE, Olympia, WA 98506

Other Names 1

Doing Business AsOlympia Surgery Center

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 50D1082613

Olympia Surgery Center · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D1082613
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 15, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTimothy Dumontier
Laboratory Phone(360) 528-8571
Laboratory LocationOlympia Surgery Center3901 Capital Mall Dr SW Ste B, Olympia, WA 98502
CLIA data matches this NPI record on: Name
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.

Pain Medicine (Interventional Pain Medicine)
155 LILLY RD NE
OLYMPIA, WA 98506
Anesthesiology (Pain Medicine)
155 LILLY RD NE
OLYMPIA, WA 98506

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 Washington Center For Pain Management PLLC's NPI number?

The NPI number for Washington Center For Pain Management PLLC is 1215464979. It was assigned to this organization in the NPPES registry on May 12, 2017. The provider is doing business as Olympia Surgery Center.

Where is Washington Center For Pain Management PLLC located?

Washington Center For Pain Management PLLC is located at 155 Lilly Rd NE Suite 2, Olympia, WA 98506. The listed phone number is (425) 774-1538.

What is Washington Center For Pain Management PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Washington Center For Pain Management PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1082613) 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 Washington Center For Pain Management PLLC was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.