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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