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PUGET SOUND MEDICAL ASSOCIATES LLC
NPI 1245926195
Family Medicine in Edmonds, WA

Active since April 13, 2023CLIA 50D2292095 · Waiver
21616 76TH AVE W STE 202, EDMONDS, WA 98026(425) 585-2452(425) 209-3368 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Puget Sound Medical Associates Llc NPPES

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

PUGET SOUND MEDICAL ASSOCIATES LLC (NPI 1245926195) is a healthcare organization registered as a family medicine in Edmonds, Washington and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Amber Farook, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1245926195
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePUGET SOUND MEDICAL ASSOCIATES LLC
Location Address21616 76TH AVE W STE 202Edmonds, WA 98026-7543
Mailing Address9249 25th Ave NwSeattle, WA 98117-2812 · (425) 585-2452 · Fax (425) 209-3368
Phone(425) 585-2452
Fax(425) 209-3368
Organization SubpartNo
Authorized OfficialAmber FarookOwner/md · (509) 969-6057
Enumeration DateApril 13, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1245926195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
21616 76TH AVE W STE 202, Edmonds, WA 98026
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 50D2292095

Puget Sound Medical Associates · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2292095
Laboratory TypeAfh
Certificate Effective DateOctober 19, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmber Farook
Laboratory Phone(425) 585-2452
Laboratory LocationPuget Sound Medical Associates21616 76th Ave W Ste 202, Edmonds, WA 98026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Puget Sound Medical Associates LLC's NPI number?

The NPI number for Puget Sound Medical Associates LLC is 1245926195. It was assigned to this organization in the NPPES registry on April 13, 2023.

Where is Puget Sound Medical Associates LLC located?

Puget Sound Medical Associates LLC is located at 21616 76th Ave W Ste 202, Edmonds, WA 98026. The listed phone number is (425) 585-2452.

What is Puget Sound Medical Associates LLC's specialty?

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

Does Puget Sound Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2292095) 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 Puget Sound Medical Associates LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Puget Sound Medical Associates 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 Puget Sound Medical Associates LLC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.