Southlake Select, PC
NPI 1548791924 · Internal Medicine Physician · Renton, WA
Southlake Select, PC is a Internal Medicine Physician organization in Renton, WA (NPI 1548791924).
Provider details
- NPI number
- 1548791924
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dominick Toulouse, President(425) 793-4702
- License
- 0020685 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2017-03-27
- Last updated
- 2017-05-08
Frequently asked questions
- What is Southlake Select, PC's NPI number?
- Southlake Select, PC's National Provider Identifier (NPI) is 1548791924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southlake Select, PC?
- Southlake Select, PC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Southlake Select, PC located?
- Southlake Select, PC's practice location on file with NPPES is 4011 Talbot Rd S, Renton, WA 98055-5773.
- What is Southlake Select, PC's phone number?
- The practice phone number listed in the NPPES registry for Southlake Select, PC is (425) 793-4702.
- Who is the authorized official for Southlake Select, PC?
- The authorized official listed on Southlake Select, PC's NPPES record is Dominick Toulouse, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southlake Select, PC's NPI active?
- Yes — Southlake Select, PC's NPI (1548791924) is active in the NPPES registry as of the last update on 2017-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.