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AESTHETICA CLINIQUE LLC
NPI 1508824293
Plastic Surgery in Tacoma, WA

Active since May 02, 2006CLIA 50D2111314 · Waiver
801 PACIFIC AVE, TACOMA, WA 98402(229) 589-2588 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aesthetica Clinique Llc NPPES

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

AESTHETICA CLINIQUE LLC (NPI 1508824293) is a healthcare organization registered as a plastic surgery in Tacoma, Washington and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Louis David Potyondy, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1508824293
Entity TypeOrganization
Primary Taxonomy208200000X
Legal Business NameAESTHETICA CLINIQUE LLC
Location Address801 PACIFIC AVETacoma, WA 98402-5209
Mailing Address801 Pacific AveTacoma, WA 98402-5209 · (229) 589-2588
Phone(229) 589-2588
Organization SubpartNo
Authorized OfficialLouis David PotyondyManaging Member · (229) 589-2588
Enumeration DateMay 2, 2006
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1508824293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WA · MD 60288108
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
801 PACIFIC AVE, Tacoma, WA 98402
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Other Identifiers 4

Medicaid569370029AGA
Other1104884956GA · Doctors's Npi
Medicare PINGRP7714GA
Medicare UPINI 52841GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 50D2111314

Aesthetica Clinique LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2111314
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 4, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorLouis Potyondy
Laboratory Phone(253) 627-1001
Laboratory LocationAesthetica Clinique LLC801 Pacific Ave, Tacoma, WA 98402
CLIA data matches this NPI record on: Address Name
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.

DR. AMIRALI SHAKOURIPARTOVI MD
Surgery
801 PACIFIC AVE
TACOMA, WA 98402
Pierce County (253) 627-1001
DR. LOUIS DAVID POTYONDY M.D.
Plastic Surgery
801 PACIFIC AVE
TACOMA, WA 98402
Pierce County (229) 589-2588

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 Aesthetica Clinique LLC's NPI number?

The NPI number for Aesthetica Clinique LLC is 1508824293. It was assigned to this organization in the NPPES registry on May 2, 2006.

Where is Aesthetica Clinique LLC located?

Aesthetica Clinique LLC is located at 801 Pacific Ave, Tacoma, WA 98402. The listed phone number is (229) 589-2588.

What is Aesthetica Clinique LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Does Aesthetica Clinique LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2111314) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Aesthetica Clinique LLC was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.