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OVERLAKE MEDICAL CLINICS, LLC
NPI 1801828421
Specialist in Bellevue, WA

Active since July 06, 2006CLIA Certified · 3 labs
1135 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004(425) 688-5670(425) 688-5124 Get Directions Write a Review

NPPES record last updated: October 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Overlake Medical Clinics, Llc NPPES

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

OVERLAKE MEDICAL CLINICS, LLC (NPI 1801828421) is a healthcare organization registered as a specialist in Bellevue, Washington and active in the NPI registry since July 2006. The organization holds 3 active CLIA laboratory certificates and lists David Schultz, Coo, as its authorized official.

NPPES Registry Identity

NPI1801828421
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOVERLAKE MEDICAL CLINICS, LLC
Location Address1135 116TH AVE NE, SUITE 110Bellevue, WA 98004
Mailing AddressPo Box 3947, Ms 315010Seattle, WA 98124-3947 · (425) 688-5670 · Fax (425) 688-5139
Phone(425) 688-5670
Fax(425) 688-5124
Organization SubpartNo
Authorized OfficialDavid SchultzCoo · (425) 688-5470
Enumeration DateJuly 6, 2006
Last NPPES UpdateOctober 16, 2013
✔ NPI 1801828421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1135 116TH AVE NE, Bellevue, WA 98004
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Other Identifiers 2

Medicaid7102015WA
Medicare PINGAB06825WA

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 3

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 50D0697101

Overlake Medical Clinics - Urology Bellevue · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D0697101
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMartin Wall
Laboratory Phone(425) 569-7591
Laboratory LocationOverlake Medical Clinics - Urology Bellevue1135 116th Ave NE Ste 620, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2122663

Overlake Medical Clinics Pelvic Health Clinic · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2122663
Laboratory TypePhysician Office
Certificate Effective DateDecember 2, 2016
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJulie Lacombe
Laboratory Phone(425) 635-3450
Laboratory LocationOverlake Medical Clinics Pelvic Health Clinic1135 116th Ave NE Ste 510, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 50D2013680

Overlake Medical Clinics Downtown Bellevue Urgent Care · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2013680
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNafiseh Haghgoo
Laboratory Phone(425) 635-6350
Laboratory LocationOverlake Medical Clinics Downtown Bellevue Urgent Care10223 NE 10th St, Bellevue, WA 98004
CLIA data matches this NPI record on: 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 20

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

MS. TAMMY RENEE BARRETT CRNA
Nurse Anesthetist, Certified Registered
1135 116TH AVE NE, SUITE 570
BELLEVUE, WA 98004
King County (425) 451-7335
JO KOENIG HALL CCC-A
Audiologist
1135 116TH AVE NE, SUITE 400
BELLEVUE, WA 98004
King County (206) 987-5770
MRS. ELIZABETH BROOKE REPASS SCM
Genetic Counselor, MS
1135 116TH AVE NE, SUITE 320
BELLEVUE, WA 98004
King County (425) 990-6254
DR. THOMAS DAE HUN CHI MD
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
DR. JOHN L THAYER M.D.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
RICHARD B CLARFELD M.D.
Surgery
1135 116TH AVE NE, SUITE 180
BELLEVUE, WA 98004
King County (425) 688-0212
KATHRYN D CROSSLAND M.D.
Internal Medicine (Hematology & Oncology)
1135 116TH AVE NE, SUITE 230
BELLEVUE, WA 98004
King County (425) 454-2148

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 Overlake Medical Clinics, LLC's NPI number?

The NPI number for Overlake Medical Clinics, LLC is 1801828421. It was assigned to this organization in the NPPES registry on July 6, 2006.

Where is Overlake Medical Clinics, LLC located?

Overlake Medical Clinics, LLC is located at 1135 116th Ave NE Suite 110, Bellevue, WA 98004. The listed phone number is (425) 688-5670.

What is Overlake Medical Clinics, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Overlake Medical Clinics, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Overlake Medical Clinics, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Overlake Medical Clinics, LLC 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 Overlake Medical Clinics, LLC was last updated on October 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.