SOUTHLAKE CLINIC PATHOLOGY
NPI 1538394234
Pathology - Anatomic Pathology in Renton, WA

NPI Status: Active since May 26, 2009

Contact Information

4011 TALBOT RD S
SUITE 500
RENTON, WA
ZIP 98055
Phone: (425) 251-5110
Fax: (425) 793-4710

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  • Organization
  • Pathology
  • Anatomic Pathology
  • Accepts Insurance

About SOUTHLAKE CLINIC PATHOLOGY

This page provides the complete NPI Profile along with additional information for Southlake Clinic Pathology, a provider established in Renton, Washington operating as a Pathology, focusing in anatomic pathology . The healthcare provider is registered in the NPI registry with number 1538394234 assigned on May 2009. The practitioner's primary taxonomy code is 207ZP0101X with license number MD00015542 (WA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Southlake Clinic Pathology. The authorized official of this NPI record is Ms. Marianne Larson (Coo)

NPI
1538394234
Provider Legal Name
SOUTHLAKE CLINIC INC PS
Other Organization Name
SOUTHLAKE CLINIC PATHOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4011 TALBOT RD S SUITE 500 RENTON, WA 98055
Location Phone
(425) 251-5110
Location Fax
(425) 793-4710
Mailing Address
PO BOX 59028 RENTON, WA 98058
Mailing Phone
(425) 251-5110
Mailing Fax
(425) 793-4710
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-26-2009
Last Update Date
08-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pathology Anatomic Pathology

Taxonomy Code
207ZP0101X
Type
Allopathic & Osteopathic Physicians
License No.
MD00015542
License State
WA
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MARIANNE LARSON

Authorized Official Title
COO
Authorized Official Phone
(425) 251-5110

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7147564MEDICAID (05)WA 
0057600OTHER (01)WADEPT OF L&I
G8882978MEDICARE PIN (08)WA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1538394234, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 6 + 8 + 6 + 9 + 8 + 2 + 6 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1538394234.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
4011 TALBOT RD S, STE 440
RENTON, WA 98055
Physician Assistant (Surgical)
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Pediatrics (Adolescent Medicine)
4011 TALBOT RD S, SUITE 220
RENTON, WA 98055
Pediatrics (Adolescent Medicine)
4011 TALBOT RD S, #220
RENTON, WA 98055
Pediatrics (Adolescent Medicine)
4011 TALBOT RD S, SUITE 220
RENTON, WA 98055
Pediatrics (Adolescent Medicine)
4011 TALBOT RD S
RENTON, WA 98055
Pediatrics (Adolescent Medicine)
4011 TALBOT RD S
RENTON, WA 98055
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery (Hand Surgery)
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Specialist
4011 TALBOT RD S, #210
RENTON, WA 98055
Specialist
4011 TALBOT RD S, #210
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Orthopaedic Surgery
4011 TALBOT RD S, SUITE 300
RENTON, WA 98055
Surgery
4011 TALBOT RD S, SUITE 420
RENTON, WA 98055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538394234, enumerated as an "organization" on May 26, 2009.

The provider is located at 4011 TALBOT RD S SUITE 500 RENTON, WA 98055 and the phone number is (425) 251-5110.

Pathology with taxonomy code 207ZP0101X and a focus in Anatomic Pathology.

The provider might be accepting Accepts: PacificSource Health Plans, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.