ALLEGRO PEDIATRICS - NPI 1912353111 - Pediatrics in Bothell, WA

Q: What is Pediatric Associates, Inc., Dba Allegro Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Allegro Pediatrics NPPES

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

ALLEGRO PEDIATRICS (NPI 1912353111) is a healthcare organization registered as a pediatrics in Bothell, Washington and active in the NPI registry since May 2016. The organization holds 2 active CLIA laboratory certificates and lists Brett Vandenberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912353111

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC ASSOCIATES, INC., DBA ALLEGRO PEDIATRICS

Location Address11724 NE 195TH STREET, SUITE #100Bothell, WA 98011

Mailing Address2475 140th Ave. Ne, Building CBellevue, WA 98005 · (425) 460-5601 · Fax (425) 460-5606

Phone(425) 318-3100

Organization SubpartNo

Authorized OfficialBrett VandenbergCeo · (425) 460-5643

Enumeration DateMay 6, 2016

Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration

NPPES CertifiedOctober 27, 2020

✔ NPI 1912353111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11724 NE 195TH STREET, Bothell, WA 98011

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Other Names 1

Doing Business AsAllegro Pediatrics

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

CLIA Laboratory Certificates CMS CLIA 2

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 50D2072016

Pediatric Associates · Bothell, WA

Active · expires Apr 4, 2028

CLIA Number50D2072016

Laboratory TypePhysician Office

Certificate Effective DateJanuary 23, 2014

Certificate Expiration DateApril 4, 2028

Laboratory DirectorMary Rodgers

Laboratory Phone(425) 318-3100

Laboratory LocationPediatric Associates11724 NE 195th Ste 100, Bothell, WA 98011

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2295754

Allegro Pediatrics · Bellevue, WA

Active · expires Apr 4, 2028

CLIA Number50D2295754

Laboratory TypePhysician Office

Certificate Effective DateDecember 15, 2023

Certificate Expiration DateApril 4, 2028

Laboratory DirectorVicki Barag

Laboratory Phone(425) 460-5649

Laboratory LocationAllegro Pediatrics2475 140th Ave NE Bldg C, Bellevue, WA 98005

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MRS. BRIANNA LABEL

Pediatrics