NPI Index

SOUTHLAKE CLINIC INC., P.S.

Internal Medicine

Active Organization
NPI: 1104962331

Practice Address

4011 TALBOT RD S
SUITE 500
Renton, WA 98055

Phone: (425) 251-5110

Specialties

Specialty Code Primary License
Hospitalist 208M00000X No -
Physician Assistant 363A00000X No -
Nurse Practitioner 363L00000X No -
Internal Medicine 207R00000X Yes -
Dermatology 207N00000X No -
Internal Medicine - Cardiovascular Disease 207RC0000X No -
Internal Medicine - Critical Care Medicine 207RC0200X No -
Internal Medicine - Endocrinology, Diabetes & Metabolism 207RE0101X No -
Internal Medicine - Gastroenterology 207RG0100X No -
Internal Medicine - Hematology & Oncology 207RH0003X No -
Internal Medicine - Interventional Cardiology 207RI0011X No -
Internal Medicine - Infectious Disease 207RI0200X No -
Internal Medicine - Pulmonary Disease 207RP1001X No -
Internal Medicine - Sleep Medicine 207RS0012X No -
Nuclear Medicine - Nuclear Cardiology 207UN0901X No -

Frequently Asked Questions

NPI 1104962331 is the National Provider Identifier for SOUTHLAKE CLINIC INC., P.S., a Internal Medicine provider located in Renton, WA. This NPI was enumerated on January 29, 2007.

Quick Facts

NPI
1104962331
Type
Organization
Enumerated
Jan 29, 2007
Last Updated
Jul 13, 2017

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