PROLIANCE EASTSIDE SURGERY CENTER
NPI 1790724862
Clinic/Center - Ambulatory Surgical in Kirkland, WA

Active since June 05, 2006CLIA 50D1010072 · Waiver
12911 120TH AVE NE STE H110, KIRKLAND, WA 98034(425) 216-7000(425) 216-7019 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Proliance Eastside Surgery Center NPPES

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

PROLIANCE EASTSIDE SURGERY CENTER (NPI 1790724862) is a healthcare organization registered as an ambulatory surgical in Kirkland, Washington and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Laura Kleisle, Chief Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1790724862
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePROLIANCE SURGEONS, INC., P.S.
Location Address12911 120TH AVE NE STE H110Kirkland, WA 98034-3061
Mailing Address12911 120th Ave Ne Ste G10Kirkland, WA 98034-3048
Fax(425) 216-7019
Organization SubpartNo
Authorized OfficialLaura KleisleChief Risk Officer · (206) 838-2590
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 28, 2021
NPPES CertifiedMay 28, 2021
NPI 1790724862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in WA · 601484763
12911 120TH AVE NE STE H110, Kirkland, WA 98034

Other Names 1

Doing Business AsProliance Eastside Surgery Center

Other Identifiers 2

Other173398Wa Labor & Industries
Medicaid1045664WA

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 50D1010072

Proliance Eastside Surgery Center · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D1010072
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 5, 2003
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTiana Dorsey
Laboratory Phone(425) 216-7000
Laboratory LocationProliance Eastside Surgery Center12911 120th Ave NE Ste H110, Kirkland, WA 98034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, bupivacaine liposome, 1 mg C9290
Bupivacaine liposome is a local anesthetic used to numb a specific area of the body and reduce pain or discomfort associated with surgical procedures. The 1 mg dosage is injected by a healthcare professional at the required site.
10,640 services58 patients
Repair of tendon, finger, and/or palm of hand 26145
This procedure involves fixing damaged tendons in your finger or palm. Tendons connect muscles to bones, enabling movement. When injured, they require surgical repair to restore function. You'll be under anesthesia, and a surgeon will make small incisions to access and mend the tendon.
98 services73 patients
Release of wrist ligament using an endoscope 29848
This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.
48 services42 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
47 services43 patients
Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
40 services40 patients
Repair of shoulder rotator cuff using an endoscope 29827
This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.
28 services28 patients

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 Proliance Surgeons, Inc., P.S.'s NPI number?

The NPI number for Proliance Surgeons, Inc., P.S. is 1790724862. It was assigned to this organization in the NPPES registry on June 5, 2006. The provider is doing business as Proliance Eastside Surgery Center.

Where is Proliance Surgeons, Inc., P.S. located?

Proliance Surgeons, Inc., P.S. is located at 12911 120th Ave NE Ste H110, Kirkland, WA 98034. The listed phone number is (425) 216-7000.

What is Proliance Surgeons, Inc., P.S.'s specialty?

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

Does Proliance Surgeons, Inc., P.S. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1010072) 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 Proliance Surgeons, Inc., P.S. accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Proliance Surgeons, Inc., P.S. 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 Proliance Surgeons, Inc., P.S. was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.