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SAMMAMISH DIABETES AND LIPID CLINIC PLLC NPI 1578743290


NPI Information

NPI: 1578743290
Provider Name: SAMMAMISH DIABETES AND LIPID CLINIC, PLLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3854 E LAKE SAMMAMISH PKWY NE
SAMMAMISH, WA
ZIP 98074
Phone: (425) 996-7047
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SAMMAMISH DIABETES AND LIPID CLINIC, PLLC is a clinic center in Sammamish, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SAMMAMISH DIABETES AND LIPID CLINIC, PLLC NPI is 1578743290. The provider is registered as an organization entity type.

The provider's business location address is:

3854 E LAKE SAMMAMISH PKWY NE
SAMMAMISH, WA
ZIP 98074-534
Phone: (425) 996-7047
Fax: (425) 996-7087

The provider's authorized official is Donald Thomas Stewart .
The authorized official title is Owner and has the following contact phone number (425) 996-7047.

The enumeration date for this NPI number is 11/9/2007 and was last updated on 11/9/2007.


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
1261Q00000XClinic/CenterWASHINGTONYes

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: 5/5/2024

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