Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance Eastside Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
12911 120TH AVE NE STE H110, KIRKLAND, WA 98034-3061
(425) 216-7000
(425) 216-7019
Mailing address
12911 120TH AVE NE STE G10, KIRKLAND, WA 98034-3048
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601484763
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045664
—
WA
01
—
173398
WA LABOR & INDUSTRIES
—
Enumeration date
06/05/2006
Last updated
05/28/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us