INTERLAKE MEDICAL CENTER, PLLC - NPI 1619998978 - Family Medicine in Redmond, WA

Q: What is Interlake Medical Center, PLLC's NPI number?

The NPI number for Interlake Medical Center, PLLC is 1619998978. It was assigned to this organization in the NPPES registry on July 22, 2006.

Q: What is Interlake Medical Center, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Interlake Medical Center, Pllc NPPES

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

INTERLAKE MEDICAL CENTER, PLLC (NPI 1619998978) is a healthcare organization registered as a family medicine in Redmond, Washington and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Norman H. Leou, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1619998978

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTERLAKE MEDICAL CENTER, PLLC

Location Address2103 152ND AVE NERedmond, WA 98052-5520

Mailing Address2103 152nd Ave NeRedmond, WA 98052-5520 · (425) 746-2400 · Fax (425) 746-2659

Phone(425) 746-2400

Fax(425) 746-2659

Organization SubpartNo

Authorized OfficialNorman H. LeouManaging Director · (425) 746-2400

Enumeration DateJuly 22, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1619998978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

2103 152ND AVE NE, Redmond, WA 98052

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 of Waiver 50D0630705

Interlake Medical Center · Redmond, WA

Active · expires Apr 4, 2028

CLIA Number50D0630705

Laboratory TypePhysician Office

Certificate Effective DateJune 24, 2025

Certificate Expiration DateApril 4, 2028

Laboratory DirectorNorman Leou

Laboratory Phone(425) 746-2400

Laboratory LocationInterlake Medical Center2103 152nd NE, Redmond, WA 98052

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MR. MINH H PHAM L.AC.

Acupuncturist