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THE GALLERY OF COSMETIC SURGERY
NPI 1861606162
Specialist in Lynnwood, WA

Active since May 09, 2007CLIA 50D2173567 · Waiver
3500 188TH ST SW, SUITE 670, LYNNWOOD, WA 98037(425) 775-3561(425) 672-1385 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Gallery Of Cosmetic Surgery NPPES

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

THE GALLERY OF COSMETIC SURGERY (NPI 1861606162) is a healthcare organization registered as a specialist in Lynnwood, Washington and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Dyanne K Middaugh, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1861606162
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE GALLERY OF COSMETIC SURGERY
Location Address3500 188TH ST SW, SUITE 670Lynnwood, WA 98037-4716
Mailing Address3500 188th St Sw, Suite 670Lynnwood, WA 98037-4716 · (425) 775-3561 · Fax (425) 672-1385
Phone(425) 775-3561
Fax(425) 672-1385
Organization SubpartNo
Authorized OfficialDyanne K MiddaughPractice Manager · (425) 775-3561
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1861606162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · 43154
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.

3500 188TH ST SW, Lynnwood, WA 98037
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 50D2173567

The Gallery Of Cosmetic Surgery · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D2173567
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 15, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJavad Sajan
Laboratory Phone(425) 775-3561
Laboratory LocationThe Gallery Of Cosmetic Surgery3500 188th St SW Ste 670, Lynnwood, WA 98037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALDERWOOD SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
3500 188TH ST SW, SUITE 670
LYNNWOOD, WA 98037
Snohomish County (425) 775-3561
SANDI C NAGATA DPM
Podiatrist (Foot & Ankle Surgery)
3500 188TH ST SW, SUITE 110
LYNNWOOD, WA 98037
Snohomish County (425) 778-5666

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 The Gallery Of Cosmetic Surgery's NPI number?

The NPI number for The Gallery Of Cosmetic Surgery is 1861606162. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is The Gallery Of Cosmetic Surgery located?

The Gallery Of Cosmetic Surgery is located at 3500 188th St SW Suite 670, Lynnwood, WA 98037. The listed phone number is (425) 775-3561.

What is The Gallery Of Cosmetic Surgery's specialty?

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

Does The Gallery Of Cosmetic Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2173567) 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 The Gallery Of Cosmetic Surgery accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list The Gallery Of Cosmetic Surgery 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 The Gallery Of Cosmetic Surgery was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.