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Organization
SW SEATTLE AMBULATORY SURGERY, LLC
Active
Organization
SW SEATTLE AMBULATORY SURGERY, LLC
Active
Other names
Southwest Seattle Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LOMBARDI MD (MANAGING PARTNER)
(206) 243-1100
Entity
Organization
Contact information
Practice address
275 SW 160TH ST, SUITE 200, BURIEN, WA 98166-3003
(206) 988-0927
(206) 988-0921
Mailing address
PO BOX 960, CENTRALIA, WA 98531-0960
(360) 736-0928
(360) 736-0921
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0184811
DEPT OF L&I
WA
05
—
7123623
—
WA
01
—
8930918
CRIME VICTIMS L&I
WA
01
—
9788SO
REGENCE
WA
Enumeration date
04/05/2006
Last updated
08/22/2020
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