SOUTHLAKE CLINIC DME
NPI 1821237488
Durable Medical Equipment & Medical Supplies in Renton, WA

NPI Status: Active since February 05, 2009

Contact Information

4033 TALBOT RD S
SUITE 500
RENTON, WA
ZIP 98055
Phone: (425) 251-5110
Fax: (425) 793-7382

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About SOUTHLAKE CLINIC DME

This page provides the complete NPI Profile along with additional information for Southlake Clinic Dme, a provider established in Renton, Washington operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1821237488 assigned on February 2009. The practitioner's primary taxonomy code is 332B00000X with license number 600 052 154 (WA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Marianne Larson (Cheif Operating Officer)

NPI
1821237488
Provider Name
SOUTHLAKE CLINIC DME
Entity Type
Organization
Location Address
4033 TALBOT RD S SUITE 500 RENTON, WA 98055
Location Phone
(425) 251-5110
Location Fax
(425) 793-7382
Mailing Address
PO BOX 59028 RENTON, WA 98058
Mailing Phone
(425) 251-5110
Mailing Fax
(425) 793-7382
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-05-2009
Last Update Date
05-17-2010
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
License No.
600 052 154
License State
WA
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

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

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

MARIANNE LARSON

Authorized Official Title
CHEIF OPERATING OFFICER
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
9062571MEDICAID (05)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 1821237488, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
2
Doubled → 4
Pos 6
3
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
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 2 → 4 2 → 4 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 4 + 1 + 4 + 3 + 1 + 4 + 4 + 1 + 6 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1821237488.

Other Providers at the Same Location


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

Dentist (Orthodontics and Dentofacial Orthopedics)
4033 TALBOT RD S
RENTON, WA 98055
Pediatrics
4033 TALBOT RD S, MEDICAL ARTS CENTER, SUITE 200
RENTON, WA 98055
Genetic Counselor, MS
4033 TALBOT RD S, STE 450
RENTON, WA 98055
Pediatrics
4033 TALBOT RD S, STE 200
RENTON, WA 98055
Pediatrics
4033 TALBOT RD S, STE 200
RENTON, WA 98055
Pediatrics
4033 TALBOT RD S, STE 200
RENTON, WA 98055
Pediatrics
4033 TALBOT RD S, STE 200
RENTON, WA 98055
Advanced Practice Midwife
4033 TALBOT RD S, STE 430
RENTON, WA 98055
Surgery (Vascular Surgery)
4033 TALBOT RD S, SUITE 530
RENTON, WA 98055
Advanced Practice Midwife
4033 TALBOT RD S, STE 430
RENTON, WA 98055
Internal Medicine (Nephrology)
4033 TALBOT RD S, STE 430
RENTON, WA 98055
Physician Assistant (Medical)
4033 TALBOT RD S, STE 570
RENTON, WA 98055
Advanced Practice Midwife
4033 TALBOT RD S, STE 440
RENTON, WA 98055
Advanced Practice Midwife
4033 TALBOT RD S, STE 430
RENTON, WA 98055
Anesthesiology
4033 TALBOT RD S, #270
RENTON, WA 98055
Nurse Anesthetist, Certified Registered
4033 TALBOT RD S, #270
RENTON, WA 98055
Anesthesiology
4033 TALBOT RD S, #270
RENTON, WA 98055
Nurse Anesthetist, Certified Registered
4033 TALBOT RD S, #270
RENTON, WA 98055
Clinic/Center (Medical Specialty)
4033 TALBOT RD S, SUITE 200
RENTON, WA 98055
Surgery
4033 TALBOT RD S, STE 560
RENTON, WA 98055

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821237488, enumerated as an "organization" on February 05, 2009.

The provider is located at 4033 TALBOT RD S SUITE 500 RENTON, WA 98055 and the phone number is (425) 251-5110.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

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