NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC NPI 1578970117

NPI Information

NPI: 1578970117
Provider Name: NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC

Doing Business As: ATHENIX BODY SCULPTING INSTITUTE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
636 120TH AVE NE STE 202
BELLEVUE, WA
ZIP 98005
Phone: (425) 454-2410
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NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC is an ambulatory surgical clinic center in Bellevue, WA. NORTHWEST SURGICAL DEVELOPMENT OF BELLEVUE LLC NPI is 1578970117. The provider is registered as an organization entity type.
The provider Is Doing Business As Athenix Body Sculpting Institute.

The provider's business location address is:

636 120TH AVE NE STE 202
BELLEVUE, WA
ZIP 98005-028
Phone: (425) 454-2410
Fax: (425) 454-2259

The provider's authorized official is James Haefner .
The authorized official title is Ceo and has the following contact phone number (949) 600-9931.

The enumeration date for this NPI number is 7/15/2014 and was last updated on 2/10/2015.

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	ASF.FS.60329939	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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