Proliance Eastside Surgery Center

LBN: Proliance Surgeons, Inc., P.S.
Proliance Eastside Surgery Center is an health care organization with primary practice located at 12911 120Th Ave Ne Ste H110 , Kirkland WA 98034-3061. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 216-7000, or through Kleisle, Laura via phone (206) 838-2590.

Contact Information

Primary practice address
12911 120Th Ave Ne Ste H110 Kirkland WA 98034-3061
Phone: (425) 216-7000
Fax: (425) 216-7019
Website:
Map and Directions
Authorized official contact:
Name: Kleisle, Laura
Phone: (206) 838-2590

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 601484763 Washington

Profile Details

NPI number 1790724862
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Proliance Eastside Surgery Center
Authorized official Kleisle, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2006
Last updated May 28th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790724862 NPPES
Other 173398 WA LABOR & INDUSTRIES
MEDICAID 1045664 WA LABOR & INDUSTRIES

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