PROLIANCE SURGERY CENTER AT VALLEY, LLC
NPI 1356965750
Clinic/Center - Ambulatory Surgical in Renton, WA

Active since June 01, 2020CLIA 50D2197118 · Waiver
4009 TALBOT ROAD S, SUITE 200, RENTON, WA 98055(425) 226-2041(425) 226-2402 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2021, Jun 1, 2020 (2 updates tracked since 2020).

About Proliance Surgery Center At Valley, Llc NPPES

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

PROLIANCE SURGERY CENTER AT VALLEY, LLC (NPI 1356965750) is a healthcare organization registered as an ambulatory surgical in Renton, Washington and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Peggy Wellman, Vp Asc Operations, as its authorized official.

NPPES Registry Identity

NPI1356965750
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROLIANCE SURGERY CENTER AT VALLEY, LLC
Location Address4009 TALBOT ROAD S, SUITE 200Renton, WA 98055
Mailing Address4011 Talbot Rd S Ste 300Renton, WA 98055-5791 · (425) 226-2041 · Fax (425) 226-2402
Fax(425) 226-2402
Organization SubpartNo
Authorized OfficialPeggy WellmanVp Asc Operations · (206) 838-3767
Enumeration DateJune 1, 2020
Last NPPES UpdateAugust 20, 20212 updates tracked since enumeration
NPPES CertifiedAugust 20, 2021
NPI 1356965750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4009 TALBOT ROAD S, Renton, WA 98055

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 50D2197118

Proliance Surgery Center At Valley · Renton, WA
Active · expires Apr 4, 2028
CLIA Number50D2197118
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 21, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorFredrick Huang
Laboratory Phone(425) 226-2041
Laboratory LocationProliance Surgery Center At Valley4009 Talbot Rd S Ste 200, Renton, WA 98055
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 24

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 of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
226 services126 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
127 services121 patients
Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
80 services25 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
70 services62 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
62 services58 patients
Incision of tendon covering of finger 26055
This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.
54 services32 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Proliance Orthopedic Associates carries, from the Medicare DMEPOS supplier directory.

Proliance Orthopedic Associates

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

Accepts Medicare assignment

Proliance Orthopedic Associates 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)20658287
Medicare Participant SinceJanuary 1, 1998
Supplier Location4011 Talbot S Rd 300Renton, WA 98055
Provider TypePhysician Assistant · Physician – Orthopedic/Orthopedic Surgery · Multi-Specialty - Physician

Medicare Product Categories

Traction Equipment
Traction tables, Traction machines, Inversion tables
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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Surgery Center At Valley, LLC's NPI number?

The NPI number for Proliance Surgery Center At Valley, LLC is 1356965750. It was assigned to this organization in the NPPES registry on June 1, 2020.

Where is Proliance Surgery Center At Valley, LLC located?

Proliance Surgery Center At Valley, LLC is located at 4009 Talbot Road S Suite 200, Renton, WA 98055. The listed phone number is (425) 226-2041.

What is Proliance Surgery Center At Valley, LLC's specialty?

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

Does Proliance Surgery Center At Valley, LLC accept Medicare assignment for medical equipment?

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

Does Proliance Surgery Center At Valley, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2197118) 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 Surgery Center At Valley, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Proliance Surgery Center At Valley, 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 Proliance Surgery Center At Valley, LLC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.