RENTON PEDIATRIC ASSOCIATES PS NPI 1225199474

NPI Information

RENTON PEDIATRIC ASSOCIATES, PS is a medical specialty clinic center in Renton, WA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RENTON PEDIATRIC ASSOCIATES, PS NPI is 1225199474. The provider is registered as an organization entity type.

The provider's business location address is:

4033 TALBOT RD S
SUITE 200
RENTON, WA
ZIP 98055-772
Phone: (425) 271-5437

The provider's authorized official is Stuart S. Shorr .
The authorized official title is Physician/owner and has the following contact phone number (425) 271-5437.

The CLIA number assigned to this NPI record is 50D0630894 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 8/2/2011.

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:

Other Identifiers

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

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