OPTUM NORTHGATE PLAZA
NPI 1306226170
Durable Medical Equipment & Medical Supplies in Seattle, WA
NPI Status: Active since June 05, 2015
Contact Information
9709 3RD AVE NE FL 2
SEATTLE, WA
ZIP 98115
Phone: (206) 329-1760
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 50D1062776
- CLIA Cert. Type: Other
- CLIA Exp. Date: 04-04-2028
About OPTUM NORTHGATE PLAZA
This page provides the complete NPI Profile along with additional information for Optum Northgate Plaza, a provider established in Seattle, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1306226170 assigned on June 2015. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Optum Northgate Plaza operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Optum Northgate Plaza. The authorized official of this NPI record is Craig Pepin (Physician/owner)
- NPI
- 1306226170
- Provider Legal Name
- THE POLYCLINIC PLLC
- Other Organization Name
- OPTUM NORTHGATE PLAZA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 9709 3RD AVE NE FL 2 SEATTLE, WA 98115
- Location Phone
- (206) 329-1760
- Mailing Address
- 1145 BROADWAY SEATTLE, WA 98122
- Mailing Phone
- (206) 329-1760
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-05-2015
- Last Update Date
- 08-12-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | |
| 2 | 2251H1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1062776
- Facility Type
- Other
- Certificate Effective Date
- September 01, 2007
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- GEORGE W. GO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Optum Northgate Plaza after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1306226170, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306226170, enumerated as an "organization" on June 05, 2015.
The provider is located at 9709 3RD AVE NE FL 2 SEATTLE, WA 98115 and the phone number is (206) 329-1760.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
