Southlake Clinic Inc Ps
NPI 1538394234ActiveOrganization· Pathology, Anatomic Pathology· Renton, WA
Pathology, Anatomic Pathology in Renton, Washington, registered in NPPES in May 2009. The authorized official on file is Marianne Larson, Coo.
Overview
| NPI | 1538394234 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2009 |
| Last updated in NPPES | Aug 6, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Anatomic Pathology Primary | 207ZP0101X | MD00015542 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|