OVERLAKE MEDICAL CLINICS LLC
NPI 1871745703
Specialist in Bellevue, WA
NPI Status: Active since October 22, 2008
Contact Information
1750 112TH AVE NE
SUITE A101
BELLEVUE, WA
ZIP 98004
Phone: (425) 688-5234
Fax: (425) 688-5756
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 50D1030619
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 04-04-2028
About OVERLAKE MEDICAL CLINICS LLC
This page provides the complete NPI Profile along with additional information for Overlake Medical Clinics Llc, a provider established in Bellevue, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1871745703 assigned on October 2008. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Overlake Medical Clinics Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is David Schultz (Coo)
- NPI
- 1871745703
- Provider Name
- OVERLAKE MEDICAL CLINICS LLC
- Entity Type
- Organization
- Location Address
- 1750 112TH AVE NE SUITE A101 BELLEVUE, WA 98004
- Location Phone
- (425) 688-5234
- Location Fax
- (425) 688-5756
- Mailing Address
- PO BOX 3905 DEPT 4204 SEATTLE, WA 98124
- Mailing Phone
- (425) 688-5777
- Mailing Fax
- (425) 688-5756
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-22-2008
- Last Update Date
- 10-22-2008
- Code Navigator
Location Map
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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
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.
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 |
|---|---|---|---|
| GAB06825 | MEDICARE PIN (08) | WA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D1030619
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- January 11, 2012
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- NAFISEH L. HAGHGOO
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Overlake Medical Clinics Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1871745703, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
BELLEVUE, WA 98004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871745703, enumerated as an "organization" on October 22, 2008.
The provider is located at 1750 112TH AVE NE SUITE A101 BELLEVUE, WA 98004 and the phone number is (425) 688-5234.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.
