Southlake Clinic Dme
Durable Medical Equipment & Medical Supplies
4033 Talbot Rd S, Suite 500, Renton
Washington, 98055-5772
425-251-5110 425-793-7382
Southlake Clinic Dme is a Durable Medical Equipment & Medical Supplies in Renton, Washington. This organization is also known as sub part of Southlake Clinic, Inc., P.s.. It is located at 4033 Talbot Rd S, Suite 500, Renton and it's customer support contact number is 425-251-5110. The authorized person of Southlake Clinic Dme is Marianne Larson who is Cheif Operating Officer of this DME and his contact number is 425-251-5110. Active license number of Southlake Clinic Dme is 600 052 154 for Durable Medical Equipment & Medical Supplies in Washington.
Southlake Clinic Dme is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Southlake Clinic Dme type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Southlake Clinic Dme |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4033 Talbot Rd S, Suite 500, Renton,
Washington, 98055-5772 |
| Phone: | 425-251-5110 |
| Fax: | 425-793-7382 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Marianne Larson |
| Position: | Cheif Operating Officer |
| Contact Number: | 425-251-5110 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1821237488 |
| Parent Organization: | Southlake Clinic, Inc., P.s. |
| NPI Enumeration Date: | 05 Feb, 2009 |
| NPI Last Update On: | 17 May, 2010 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Southlake Clinic Dme are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | 600 052 154 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 9062571 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 59028,
Renton, Washington |
| Zip: | 98058-2028 |
| Phone Number: | 425-251-5110 |
| Fax Number: | 425-793-7458 |
Patients can reach Southlake Clinic Dme at
4033 Talbot Rd S, Suite 500, Renton, Washington or can
call on customer care at 425-251-5110.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.