Southlake Clinic Inc., P.S.
NPI 1104962331ActiveOrganization· Internal Medicine· Renton, WA
Internal Medicine in Renton, Washington, registered in NPPES in January 2007. The authorized official on file is James Dwight Hudson, MHA, Coo.
Overview
| NPI | 1104962331 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2007 |
| Last updated in NPPES | Jul 13, 2017 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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