CEDAR MEDICAL SPECIALTIES PLLC NPI 1194774265

NPI Information

NPI: 1194774265
Provider Name: CEDAR MEDICAL SPECIALTIES, PLLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: CEDAR LASER AND SURGERY CENTER
CLIA Number: 50D0992544
Address: 2202 S CEDAR ST
STE 150
TACOMA, WA
ZIP 98405
Phone: (253) 830-5432

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NPI Details

CEDAR MEDICAL SPECIALTIES, PLLC is an ambulatory surgical clinic center in Tacoma, WA. CEDAR MEDICAL SPECIALTIES, PLLC NPI is 1194774265. The provider is registered as an organization entity type.
The provider Is Doing Business As Cedar Laser And Surgery Center.

The provider's business location address is:

2202 S CEDAR ST
STE 150
TACOMA, WA
ZIP 98405-318
Phone: (253) 830-5432
Fax: (253) 830-5433

The provider's authorized official is Robyn Wallace .
The authorized official title is Clinical Director and has the following contact phone number (253) 830-5432.

The CLIA number assigned to this NPI record is 50D0992544 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 9/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	FX00057086	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GAB25048	MEDICARE PIN	WASHINGTON
2	7109994	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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