OrganizationActive
Southlake Clinic Dme
NPI 1821237488 · Durable Medical Equipment & Medical Supplies · Renton, WA
Provider details
- NPI number
- 1821237488
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Southlake Clinic, Inc., P.s.
- Organization subpart
- Yes
- Authorized official
- Marianne Larson, Cheif Operating Officer(425) 251-5110
- License
- 600 052 154 (WA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
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
4033 Talbot Rd S
Suite 500
Renton, WA 98055-5772
Phone: (425) 251-5110
Fax: (425) 793-7382
Street-level locationGet directions
Mailing address
Po Box 59028
Renton, WA 98058-2028
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2010-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.