SKIN SURGERY CENTER
NPI 1689755894
Clinic/Center - Ambulatory Surgical in Bellevue, WA

Active since October 17, 2006CLIA 50D1021614 · Certificate of Compliance
1551 116TH AVE NE, BELLEVUE, WA 98004(425) 453-8647(425) 455-5727 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Skin Surgery Center NPPES

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

SKIN SURGERY CENTER (NPI 1689755894) is a healthcare organization registered as an ambulatory surgical in Bellevue, Washington and active in the NPI registry since October 2006. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists Peter Brierley Odland, President, as its authorized official.

NPPES Registry Identity

NPI1689755894
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSKIN SURGERY CENTER PS
Location Address1551 116TH AVE NEBellevue, WA 98004-3814
Mailing Address1229 Madison St, Suite 1480Seattle, WA 98104-3586 · (206) 346-6647 · Fax (206) 346-6022
Fax(425) 455-5727
Organization SubpartNo
Authorized OfficialPeter Brierley OdlandPresident · (206) 346-6647
Enumeration DateOctober 17, 2006
Last NPPES UpdateApril 20, 2008
NPI 1689755894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1551 116TH AVE NE, Bellevue, WA 98004

Other Names 1

Doing Business AsSkin Surgery Center

Other Identifiers 2

Medicare PINGAB17739WA
Other8080SKBc Bs

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 Compliance 50D1021614

Skin Surgery Center · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D1021614
Laboratory TypePhysician Office
Certificate Effective DateJanuary 27, 2004
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnnalisa Gorman
Laboratory Phone(217) 503-0983
Laboratory LocationSkin Surgery Center1551 116th Ave NE, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

Dentist (General Practice)
1551 116TH AVE NE, SUITE B1
BELLEVUE, WA 98004
Dermatology
1551 116TH AVE NE
BELLEVUE, WA 98004
Dermatology
1551 116TH AVE NE
BELLEVUE, WA 98004
Dentist
1551 116TH AVE NE, SUITE #B1
BELLEVUE, WA 98004
Dentist
1551 116TH AVE NE, SUITE B-1
BELLEVUE, WA 98004

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 Skin Surgery Center Ps's NPI number?

The NPI number for Skin Surgery Center Ps is 1689755894. It was assigned to this organization in the NPPES registry on October 17, 2006. The provider is doing business as Skin Surgery Center.

Where is Skin Surgery Center Ps located?

Skin Surgery Center Ps is located at 1551 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 453-8647.

What is Skin Surgery Center Ps's specialty?

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

Does Skin Surgery Center Ps hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D1021614) 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 Skin Surgery Center Ps accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Skin Surgery Center 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 Skin Surgery Center Ps was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.