Southlake Clinic Inc Ps
NPI 1538394234 · Anatomic Pathology Physician · Renton, WA
Southlake Clinic Inc Ps is a Anatomic Pathology Physician organization in Renton, WA (NPI 1538394234).
Provider details
- NPI number
- 1538394234
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marianne Larson, Coo(425) 251-5110
- License
- MD00015542 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Other names (DBA / former)
- Doing business as
- Southlake Clinic Pathology
Registry dates
- Enumerated
- 2009-05-26
- Last updated
- 2012-08-06
Frequently asked questions
- What is Southlake Clinic Inc Ps's NPI number?
- Southlake Clinic Inc Ps's National Provider Identifier (NPI) is 1538394234, 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 Anatomic Pathology Physician (Allopathic & Osteopathic Physicians).
- Where is Southlake Clinic Inc Ps located?
- Southlake Clinic Inc Ps's practice location on file with NPPES is 4011 Talbot Rd S, Renton, WA 98055-5773.
- 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, Coo. 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 (1538394234) is active in the NPPES registry as of the last update on 2012-08-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.