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OVERLAKE MEDICAL CLINICS LLC
NPI 1871745703
Specialist in Bellevue, WA

Active since October 22, 2008CLIA 50D1030619 · Certificate of Compliance
1750 112TH AVE NE, SUITE A101, BELLEVUE, WA 98004(425) 688-5234(425) 688-5756 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 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 1871745703) is a healthcare organization registered as a specialist in Bellevue, Washington and active in the NPI registry since October 2008. The organization holds a CLIA Certificate of Compliance certificate valid through April 4, 2028 and lists David Schultz, Coo, as its authorized official.

NPPES Registry Identity

NPI1871745703
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOVERLAKE MEDICAL CLINICS LLC
Location Address1750 112TH AVE NE, SUITE A101Bellevue, WA 98004-3752
Mailing AddressPo Box 3905, Dept 4204Seattle, WA 98124-3905 · (425) 688-5777 · Fax (425) 688-5605
Phone(425) 688-5234
Fax(425) 688-5756
Organization SubpartYes
Authorized OfficialDavid SchultzCoo · (425) 688-5470
Enumeration DateOctober 22, 2008
✔ NPI 1871745703 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.
1750 112TH AVE NE, Bellevue, WA 98004
Open in Google Maps ↗

Other Identifiers 1

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

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 50D1030619

Overlake Medical Clinics Issaquah Urgent Care · Issaquah, WA
Active · expires Apr 4, 2028
CLIA Number50D1030619
Laboratory TypeClinic
Certificate Effective DateJanuary 11, 2012
Certificate Expiration DateApril 4, 2028
Laboratory DirectorNafiseh L. Haghgoo
Laboratory Phone(425) 688-5777
Laboratory LocationOverlake Medical Clinics Issaquah Urgent Care5708 E Lake Sammamish Pkwy SE, Issaquah, WA 98029
CLIA data matches this NPI record on: Name Phone
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.

WORAWAN RATTANASAMPHAN MD
Specialist
1750 112TH AVE NE, SUITE A-101
BELLEVUE, WA 98004
King County (425) 688-5234
SPORTS REACTION CENTER INC
Specialist
1750 112TH AVE NE, SUITE D-154
BELLEVUE, WA 98004
King County (425) 643-9778
TANUSHREE GANGADHAR YALAVATTI DPT
Physical Therapist
1750 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 289-0381
CHARLES D BIRNBACH M.D.
Ophthalmology
1750 112TH AVE NE, SUITE D050
BELLEVUE, WA 98004
King County (206) 215-3850
JULIE TRAN DPT
Physical Therapist
1750 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 289-0381
BELLEVUE INTERNAL MEDICINE ASSOCIATES PLLC
Internal Medicine (Geriatric Medicine)
1750 112TH AVE NE, SUITE A101 & A102
BELLEVUE, WA 98004
King County (425) 637-1022
LESLIE RENEE MERKLIN-BARBER RN
Registered Nurse
1750 112TH AVE NE, SUITE A101
BELLEVUE, WA 98004
King County (425) 688-5879
MONALI SHAH
Physical Therapist
1750 112TH AVE NE
BELLEVUE, WA 98004
King County (425) 289-0381

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 1871745703. It was assigned to this organization in the NPPES registry on October 22, 2008.

Where is Overlake Medical Clinics LLC located?

Overlake Medical Clinics LLC is located at 1750 112th Ave NE Suite A101, Bellevue, WA 98004. The listed phone number is (425) 688-5234.

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 a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 50D1030619) 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 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 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.