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SOUTHLAKE CLINIC
NPI 1386800753
Durable Medical Equipment & Medical Supplies in Renton, WA

Active since August 05, 2008
3915 TALBOT RD S, SUITE 300, RENTON, WA 98055(425) 251-5110(425) 793-7458 Get Directions Write a Review

NPPES record last updated: May 17, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southlake Clinic NPPES

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

SOUTHLAKE CLINIC (NPI 1386800753) is a healthcare organization registered as a durable medical equipment & medical supplies in Renton, Washington and active in the NPI registry since August 2008. The organization lists Marianne Larson, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1386800753
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameSOUTHLAKE CLINIC INC PS
Location Address3915 TALBOT RD S, SUITE 300Renton, WA 98055-5738
Mailing AddressPo Box 59028Renton, WA 98058-2028 · (425) 251-5110 · Fax (425) 793-7458
Phone(425) 251-5110
Fax(425) 793-7458
Organization SubpartYes
Authorized OfficialMarianne LarsonChief Operating Officer · (425) 251-5110
Enumeration DateAugust 5, 2008
Last NPPES UpdateMay 17, 2010
✔ NPI 1386800753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3915 TALBOT RD S, Renton, WA 98055
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Other Names 1

Doing Business AsSouthlake Clinic

Other Identifiers 2

Medicare NSC0526970001WA
Medicare PIN0526970001WA

Other Providers at the Same Location NPPES 20

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

PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Neuromusculoskeletal Medicine & OMM
3915 TALBOT RD S, STE 104
RENTON, WA 98055
King County (425) 656-4566
TANYA RIZZO MD
Internal Medicine (Adolescent Medicine)
3915 TALBOT RD S, STE 401
RENTON, WA 98055
King County (425) 656-4224
DON Q. THAI MD
Psychiatry & Neurology (Neurology)
3915 TALBOT RD S, STE 104
RENTON, WA 98055
King County (425) 917-6218
JOHN L. BONDI MD
Family Medicine (Adult Medicine)
3915 TALBOT RD S, STE 401
RENTON, WA 98055
King County (425) 656-4224
LULY C ZIMMERMAN DO
Student in an Organized Health Care Education/Training Program
3915 TALBOT RD S, STE 401
RENTON, WA 98055
King County (425) 656-4224
NAVANSHU ARORA MD
Internal Medicine (Medical Oncology)
3915 TALBOT RD S, STE 300
RENTON, WA 98055
King County (425) 690-3409
ANTONIO PEDROZA MD
Family Medicine
3915 TALBOT RD S, STE 401
RENTON, WA 98055
King County (425) 656-4224
MRS. CYNAMON QUINTON RD, CD
Dietitian, Registered
3915 TALBOT RD S, SUITE 200
RENTON, WA 98055
King County (253) 350-4477

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 Southlake Clinic Inc Ps's NPI number?

The NPI number for Southlake Clinic Inc Ps is 1386800753. It was assigned to this organization in the NPPES registry on August 5, 2008. The provider is doing business as Southlake Clinic.

Where is Southlake Clinic Inc Ps located?

Southlake Clinic Inc Ps is located at 3915 Talbot Rd S Suite 300, Renton, WA 98055. The listed phone number is (425) 251-5110.

What is Southlake Clinic Inc Ps's specialty?

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

When was this NPI record last updated?

The NPPES record for Southlake Clinic Inc Ps was last updated on May 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.