KIRKLAND DERMATOLOGY ASSOCIATES, PLLC
NPI 1447314661
Clinic/Center - Medical Specialty in Kirkland, WA

Q: What is Kirkland Dermatology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since December 21, 2006CLIA 50D1000603 · Microscopy

11800 NE 128TH ST STE 450, KIRKLAND, WA 98034(425) 899-3376(425) 899-4131 Get Directions Write a Review

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kirkland Dermatology Associates, Pllc NPPES

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

KIRKLAND DERMATOLOGY ASSOCIATES, PLLC (NPI 1447314661) is a healthcare organization registered as a medical specialty in Kirkland, Washington and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Susan Ashworth, Partner, as its authorized official.

NPPES Registry Identity

NPI1447314661

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameKIRKLAND DERMATOLOGY ASSOCIATES, PLLC

Location Address11800 NE 128TH ST STE 450Kirkland, WA 98034

Mailing Address11800 Ne 128th St Ste 450Kirkland, WA 98034-7211 · (425) 899-3376 · Fax (425) 899-4131

Phone(425) 899-3376

Fax(425) 899-4131

Organization SubpartNo

Authorized OfficialSusan AshworthPartner · (425) 899-3376

Enumeration DateDecember 21, 2006

Last NPPES UpdateJuly 31, 2018

✔ NPI 1447314661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in WA · 602 192 697

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

11800 NE 128TH ST STE 450, Kirkland, WA 98034

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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 for Provider-Performed Microscopy Procedures (PPMP) 50D1000603

Kirkland Dermatology Associates, PLLC · Kirkland, WA

Active · expires Apr 4, 2028

CLIA Number50D1000603

Laboratory TypePhysician Office

Certificate Effective DateJune 18, 2002

Certificate Expiration DateApril 4, 2028

Laboratory DirectorLaurin A. Likosky, MD

Laboratory Phone(425) 899-3376

Laboratory LocationKirkland Dermatology Associates, PLLC12333 NE 130th Lane Suite 330, Kirkland, WA 98034

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

LAUREN ELIZABETH BONOMO MD

Dermatology

11800 NE 128TH ST STE 450
KIRKLAND, WA 98034

King County (425) 899-3376

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 Kirkland Dermatology Associates, PLLC's NPI number?

The NPI number for Kirkland Dermatology Associates, PLLC is 1447314661. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Kirkland Dermatology Associates, PLLC located?

Kirkland Dermatology Associates, PLLC is located at 11800 NE 128th St Ste 450, Kirkland, WA 98034. The listed phone number is (425) 899-3376.

What is Kirkland Dermatology Associates, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Kirkland Dermatology Associates, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D1000603) 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 Kirkland Dermatology Associates, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kirkland Dermatology Associates, PLLC 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 Kirkland Dermatology Associates, PLLC was last updated on July 31, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.