Southlake Clinic Inc Ps
NPI 1043368426 · Ambulatory Surgical Clinic/Center · Renton, WA
Southlake Clinic Inc Ps is a Ambulatory Surgical Clinic/Center organization in Renton, WA (NPI 1043368426).
Provider details
- NPI number
- 1043368426
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marianne Larson, Director of Operations(425) 251-5110
- License
- FS.60293976 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2012-11-20
Frequently asked questions
- What is Southlake Clinic Inc Ps's NPI number?
- Southlake Clinic Inc Ps's National Provider Identifier (NPI) is 1043368426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Clinic Inc Ps?
- Southlake Clinic Inc Ps is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southlake Clinic Inc Ps located?
- Southlake Clinic Inc Ps's practice location on file with NPPES is 4011 Talbot Road South, Renton, WA 98055.
- What is Southlake Clinic Inc Ps's phone number?
- The practice phone number listed in the NPPES registry for Southlake Clinic Inc Ps is (425) 251-5110.
- Who is the authorized official for Southlake Clinic Inc Ps?
- The authorized official listed on Southlake Clinic Inc Ps's NPPES record is Marianne Larson, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Clinic Inc Ps's NPI active?
- Yes — Southlake Clinic Inc Ps's NPI (1043368426) is active in the NPPES registry as of the last update on 2012-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.