Valley Internal Medicine Inc Ps
LBN: Southlake Clinic Inc., P.S.
Valley Internal Medicine Inc Ps is an health care organization with primary practice located at 4011 Talbot Rd S Suite 500, Renton WA 98055-5773. The organization recently has 15 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Southlake Clinic Inc., P.S. can be contacted via phone (425) 251-5110, or through Hudson, James Dwight via phone (425) 793-4725.
Contact Information
Primary practice address
4011 Talbot Rd S Suite 500
Renton WA 98055-5773
Phone: (425) 251-5110
Fax: (425) 793-4707
Website:
Health care specialties
Profile Details
| NPI number | 1104962331 |
|---|---|
| LBN Legal business name | Southlake Clinic Inc., P.S. |
| DBA Doing business as | Valley Internal Medicine Inc Ps |
| Authorized official | Hudson, James Dwight MHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Jul 13th, 2017 - about 8 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104962331 | NPPES |
| Washington | MEDICAID | 7072440 | |
| Washington | Other | CS3809 | |
| Washington | Other | 0057600 |
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