National Provider Identifier Database

SOUTHLAKE CLINIC INC PS
Clinical Medical Laboratory

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.


Contact Information

SOUTHLAKE CLINIC INC PS
3915 TALBOT ROAD SOUTH
SUITE 300
RENTON, WA98055
Phone: 425-251-5110
Fax: 425-226-9085
Website:
Specialty Taxonomy Code
* Clinical Medical Laboratory 291U00000X

* Indicates primary specialty

NPI Profile & details for SOUTHLAKE CLINIC INC PS

NPI Number 1548319171
Legal business name
LBN
SOUTHLAKE CLINIC INC PS
Authorized official MARIANNE LARSON - (CHIEF OPERATIONS OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 01/10/2007
Last updated 03/03/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 600052154

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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