OPTUM NORTHGATE PLAZA
NPI 1306226170
Durable Medical Equipment & Medical Supplies in Seattle, WA

Q: What is The Polyclinic PLLC's NPI number?

The NPI number for The Polyclinic PLLC is 1306226170. It was assigned to this organization in the NPPES registry on June 5, 2015. The provider is doing business as Optum Northgate Plaza and Optum Care Washington.

Q: What is The Polyclinic PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since June 05, 2015CLIA 50D1062776 · Certificate of Compliance

9709 3RD AVE NE FL 2, SEATTLE, WA 98115(206) 329-1760 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Aug 9, 2024, May 13, 2024 (3 updates tracked since 2024).

On this page

About Optum Northgate Plaza NPPES

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

OPTUM NORTHGATE PLAZA (NPI 1306226170) is a healthcare organization registered as a durable medical equipment & medical supplies in Seattle, Washington and active in the NPI registry since June 2015. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Craig Pepin, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1306226170

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameTHE POLYCLINIC PLLC

Location Address9709 3RD AVE NE FL 2Seattle, WA 98115-2077

Mailing Address1145 BroadwaySeattle, WA 98122-4201 · (206) 329-1760

Phone(206) 329-1760

Organization SubpartYes

Authorized OfficialCraig PepinPhysician/owner · (206) 860-5414

Enumeration DateJune 5, 2015

Last NPPES UpdateAugust 12, 20243 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1306226170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedPhysical TherapistTaxonomy 225100000X

Also ListedPhysical Therapist · HandTaxonomy 2251H1200X

9709 3RD AVE NE FL 2, Seattle, WA 98115

Open in Google Maps ↗

Other Names 2

Doing Business AsOptum Northgate Plaza

Doing Business AsOptum Care Washington

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

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 Compliance 50D1062776

Polyclinic Dba Optum Care Washington, PLLC, The · Seattle, WA

Active · expires Apr 4, 2028

CLIA Number50D1062776

Laboratory TypeOther

Certificate Effective DateSeptember 1, 2007

Certificate Expiration DateApril 4, 2028

Laboratory DirectorNeelima Kandula

Laboratory Phone(206) 860-4796

Laboratory LocationPolyclinic Dba Optum Care Washington, PLLC, The9709 3rd Ave NE Fl 3, Seattle, WA 98115

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 8

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

DR. LAURA R. COLMAN MD

Family Medicine