Optum - Silver Lake

LBN: Optum Care Washington Pllc
Optum - Silver Lake is an health care organization with primary practice located at 1818 121St St Se , Everett WA 98208-5985. The organization recently has 2 registered licenses in different health care specialties including Laboratories / Clinical Medical Laboratory, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Optum Care Washington Pllc can be contacted via phone (425) 357-3300, or through Go, George via phone (425) 259-0966.

Contact Information

Primary practice address
1818 121St St Se Everett WA 98208-5985
Fax:
Website:
Authorized official contact:
Name: Go, George Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 50D0892583 Washington
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1457403719
LBN Legal business name Optum Care Washington Pllc
DBA Doing business as Optum - Silver Lake
Authorized official Go, George Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2007
Last updated Apr 9th, 2024 - about 8 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457403719 NPPES
Washington Other 33000 L&I
Washington MEDICAID 7776503 L&I

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