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PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY NPI 1205960226


NPI Information

NPI: 1205960226
Provider Name: PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY
Classification: Allergy & Immunology - 207KI0005X
Entity Type: Organization

Specialization: Clinical & Laboratory Immunology

CLIA Number: 50D2025752

Address:
34509 9TH AVE S
SUITE 207
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 662-5667
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PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY is a clinical and laboratory immunology allergy immunology in Federal Way, WA. The provider is an allergy and immunology physician who specializes in clinical and laboratory immunology disease management. Source: National Uniform Claim Committee, 2022 Additional Resources: A certification was, but is no longer, issued by the American Board of Allergy and Immunology. PUGET SOUND ALLERGY ASTHMA AND IMMUNOLOGY NPI is 1205960226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

34509 9TH AVE S
SUITE 207
FEDERAL WAY, WA
ZIP 98003-700
Phone: (253) 662-5667
Fax: (253) 627-4296

The provider's authorized official is Becky Markward .
The authorized official title is Office Manager and has the following contact phone number (235) 383-4721.

The CLIA number assigned to this NPI record is 50D2025752 - other - clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 10/17/2012.


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
1207KI0005XAllergy & ImmunologyClinical & Laboratory ImmunologyMD00026151WASHINGTONYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18864200MEDICARE PINWASHINGTON
28853550MEDICARE PINWASHINGTON
3GAB33753MEDICARE PINWASHINGTON
4A03350MEDICARE UPINWASHINGTON
5Q76616MEDICARE UPINWASHINGTON
67112261MEDICAIDWASHINGTON

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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