OLYMPIA SURGERY CENTER
NPI 1487669305
Clinic/Center - Ambulatory Surgical in Olympia, WA

Active since July 29, 2006CLIA 50D2295389 · Waiver
128 LILLY RD NE STE 101, OLYMPIA, WA 98506(360) 634-4070(360) 634-4071 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2023, Sep 27, 2022 (2 updates tracked since 2022).

About Olympia Surgery Center NPPES

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

OLYMPIA SURGERY CENTER (NPI 1487669305) is a healthcare organization registered as an ambulatory surgical in Olympia, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Sung-won Kim, Owner/partner, as its authorized official.

NPPES Registry Identity

NPI1487669305
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameEAR NOSE AND THROAT ASSOCIATES SOUTHWEST INC PS
Location Address128 LILLY RD NE STE 101Olympia, WA 98506-7400
Mailing Address128 Lilly Rd Ne Ste 202Olympia, WA 98506-5029 · (360) 357-6314 · Fax (360) 705-3745
Fax(360) 634-4071
Organization SubpartNo
Authorized OfficialSung-won KimOwner/partner · (360) 357-6314
Enumeration DateJuly 29, 2006
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
NPI 1487669305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
128 LILLY RD NE STE 101, Olympia, WA 98506

Other Names 1

Doing Business AsOlympia Surgery Center

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 50D2295389

Olympia Surgery Center · Olympia, WA
Active · expires Apr 4, 2028
CLIA Number50D2295389
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 11, 2023
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSung-Won Kim
Laboratory Phone(360) 634-4070
Laboratory LocationOlympia Surgery Center128 Lilly Rd NE Ste 101, Olympia, WA 98506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Ear Nose And Throat Associates Southwest Inc Ps's NPI number?

The NPI number for Ear Nose And Throat Associates Southwest Inc Ps is 1487669305. It was assigned to this organization in the NPPES registry on July 29, 2006. The provider is doing business as Olympia Surgery Center.

Where is Ear Nose And Throat Associates Southwest Inc Ps located?

Ear Nose And Throat Associates Southwest Inc Ps is located at 128 Lilly Rd NE Ste 101, Olympia, WA 98506. The listed phone number is (360) 634-4070.

What is Ear Nose And Throat Associates Southwest Inc Ps's specialty?

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

Does Ear Nose And Throat Associates Southwest Inc Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2295389) 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 Ear Nose And Throat Associates Southwest Inc Ps accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ear Nose And Throat Associates Southwest Inc Ps 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 Ear Nose And Throat Associates Southwest Inc Ps was last updated on June 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.