PROLIANCE EDMONDS CENTER FOR OUTPATIENT SURGERY
NPI 1295775369
Clinic/Center - Ambulatory Surgical in Edmonds, WA

Active since June 07, 2006CLIA 50D1011516 · Waiver
7320 216TH ST SW STE 140, EDMONDS, WA 98026(206) 673-3750(206) 673-3763 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2024, Dec 6, 2023, May 27, 2021 (3 updates tracked since 2021).

About Proliance Edmonds Center For Outpatient Surgery NPPES

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

PROLIANCE EDMONDS CENTER FOR OUTPATIENT SURGERY (NPI 1295775369) is a healthcare organization registered as an ambulatory surgical in Edmonds, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Cori M. Pleasant, Del Cred & Enrollment Manager, as its authorized official.

NPPES Registry Identity

NPI1295775369
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROLIANCE SURGEONS INC P S
Location Address7320 216TH ST SW STE 140Edmonds, WA 98026-8028
Mailing Address7320 216th St Sw Ste 140Edmonds, WA 98026-8028 · (425) 673-3750 · Fax (425) 673-3763
Fax(206) 673-3763
Organization SubpartNo
Authorized OfficialCori M. PleasantDel Cred & Enrollment Manager · (206) 838-2585
Enumeration DateJune 7, 2006
Last NPPES UpdateOctober 4, 20243 updates tracked since enumeration
NPPES CertifiedOctober 4, 2024
NPI 1295775369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in WA · 601484763
7320 216TH ST SW STE 140, Edmonds, WA 98026

Other Names 1

Doing Business AsProliance Edmonds Center For Outpatient Surgery

Other Identifiers 2

Medicaid1043609WA
Other173267WA · Wa Labor & Industries

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 50D1011516

Proliance Edmonds Center For Outpatient Surgery · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D1011516
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 25, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJustin Olsen
Laboratory Phone(425) 673-3750
Laboratory LocationProliance Edmonds Center For Outpatient Surgery7320 216th St SW Ste 140, 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
3,990 services15 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
119 services73 patients

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Proliance Surg Edmonds Ortho Ctr carries, from the Medicare DMEPOS supplier directory.

Proliance Surg Edmonds Ortho Ctr

DMEPOS supplier · Edmonds, WAOperated by Proliance Surgeons Inc P S

Accepts Medicare assignment

Proliance Surg Edmonds Ortho Ctr agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20658359
Medicare Participant SinceJanuary 1, 1998
Supplier Location7320 216th St SW Ste 320Edmonds, WA 98026
Provider TypePhysician Assistant · Physician – Orthopedic/Orthopedic Surgery · Sports Medicine · Independently-Practicing Physical Therapist · Independently-Practicing Occupational Therapist · Multi-Specialty - Physician

Medicare Product Categories

Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 3

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

Anesthesiology
7320 216TH ST SW STE 140
EDMONDS, WA 98026
Anesthesiology
7320 216TH ST SW STE 140
EDMONDS, WA 98026
Anesthesiology
7320 216TH ST SW STE 140
EDMONDS, WA 98026

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 Proliance Surgeons Inc P S's NPI number?

The NPI number for Proliance Surgeons Inc P S is 1295775369. It was assigned to this organization in the NPPES registry on June 7, 2006. The provider is doing business as Proliance Edmonds Center For Outpatient Surgery.

Where is Proliance Surgeons Inc P S located?

Proliance Surgeons Inc P S is located at 7320 216th St SW Ste 140, Edmonds, WA 98026. The listed phone number is (206) 673-3750.

What is Proliance Surgeons Inc P S's specialty?

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

Does Proliance Surgeons Inc P S accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Proliance Surg Edmonds Ortho Ctr accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Proliance Surgeons Inc P S hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1011516) 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 Proliance Surgeons Inc P S accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Proliance Surgeons Inc P S 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 Proliance Surgeons Inc P S was last updated on October 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.