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EDMONDS MEDICAL CLINIC INC
NPI 1376174979
Family Medicine in Edmonds, WA

Active since February 01, 2020CLIA 50D2182610 · Waiver
21600 HIGHWAY 99 STE 280, EDMONDS, WA 98026(360) 901-6355 Get Directions Write a Review

NPPES record last updated: August 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2020, Feb 3, 2020, Feb 1, 2020 (3 updates tracked since 2020).

About Edmonds Medical Clinic Inc NPPES

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

EDMONDS MEDICAL CLINIC INC (NPI 1376174979) is a healthcare organization registered as a family medicine in Edmonds, Washington and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Steven Koh, President, as its authorized official.

NPPES Registry Identity

NPI1376174979
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEDMONDS MEDICAL CLINIC INC
Location Address21600 HIGHWAY 99 STE 280Edmonds, WA 98026-8022
Mailing Address21600 Highway 99 Ste 280Edmonds, WA 98026-8022 · (425) 582-7753 · Fax (425) 740-0078
Phone(360) 901-6355
Organization SubpartNo
Authorized OfficialSteven KohPresident · (425) 582-7753
Enumeration DateFebruary 1, 2020
Last NPPES UpdateAugust 1, 20203 updates tracked since enumeration
NPPES CertifiedAugust 1, 2020
✔ NPI 1376174979 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.
21600 HIGHWAY 99 STE 280, 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 50D2182610

Edmonds Medical Clinic · Edmonds, WA
Active · expires Apr 4, 2028
CLIA Number50D2182610
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSteven Koh
Laboratory Phone(425) 582-7753
Laboratory LocationEdmonds Medical Clinic21600 Highway 99 Ste 280, 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.

Other Providers at the Same Location NPPES 2

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

STEVEN KOH MD
Family Medicine
21600 HIGHWAY 99 STE 280
EDMONDS, WA 98026
Snohomish County (360) 901-6355
YOON JIN PARK M.D.
Family Medicine
21600 HIGHWAY 99 STE 280
EDMONDS, WA 98026
Snohomish County (425) 582-7753

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 Edmonds Medical Clinic Inc's NPI number?

The NPI number for Edmonds Medical Clinic Inc is 1376174979. It was assigned to this organization in the NPPES registry on February 1, 2020.

Where is Edmonds Medical Clinic Inc located?

Edmonds Medical Clinic Inc is located at 21600 Highway 99 Ste 280, Edmonds, WA 98026. The listed phone number is (360) 901-6355.

What is Edmonds Medical Clinic Inc's specialty?

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

Does Edmonds Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2182610) 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 Edmonds Medical Clinic Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Edmonds Medical Clinic Inc 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 Edmonds Medical Clinic Inc was last updated on August 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.