PHANDINH CLINIC
NPI 1225497969
Clinic/Center - Primary Care in Renton, WA

Active since February 22, 2016CLIA 50D2262476 · Waiver
330 SW 43RD ST STE L, RENTON, WA 98057(425) 243-2349 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Oct 21, 2020, May 12, 2016 and 1 more (4 updates tracked since 2016).

About Phandinh Clinic NPPES

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

PHANDINH CLINIC (NPI 1225497969) is a healthcare organization registered as a primary care in Renton, Washington and active in the NPI registry since February 2016. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kimberly Khuu, Assistant Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225497969
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHANDINH CLINIC LLC
Location Address330 SW 43RD ST STE LRenton, WA 98057-4900
Mailing Address330 Sw 43rd St Ste LRenton, WA 98057-4900 · (425) 243-2349
Organization SubpartNo
Authorized OfficialKimberly KhuuAssistant Office Manager · (425) 324-4745
Enumeration DateFebruary 22, 2016
Last NPPES UpdateOctober 19, 20234 updates tracked since enumeration
NPPES CertifiedOctober 19, 2023
NPI 1225497969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/CenterTaxonomy 261Q00000X · License NT60616795 (WA)
330 SW 43RD ST STE L, Renton, WA 98057

Other Names 1

Doing Business AsPhandinh Clinic

Accepted 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 50D2262476

Phandinh Clinic · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D2262476
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPhandinh Nguyen
Laboratory Phone(253) 981-4450
Laboratory LocationPhandinh Clinic330 SW 43rd St Ste L, Renton, WA 98057
CLIA data matches this NPI record on: Address Name
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.

Phlebology
330 SW 43RD ST STE L
RENTON, WA 98057

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 Phandinh Clinic LLC's NPI number?

The NPI number for Phandinh Clinic LLC is 1225497969. It was assigned to this organization in the NPPES registry on February 22, 2016. The provider is doing business as Phandinh Clinic.

Where is Phandinh Clinic LLC located?

Phandinh Clinic LLC is located at 330 SW 43rd St Ste L, Renton, WA 98057. The listed phone number is (425) 243-2349.

What is Phandinh Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Phandinh Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2262476) 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 Phandinh Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Phandinh 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 Phandinh Clinic LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.