Tasc LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

FX00055924 Issued in WA

Legal business name

TASC LLC

Practice address

1112 6TH Ave
Suite 100
Tacoma, WA 98405-4040

Phone

(253) 272-3916

Fax

(253) 627-1713

NPI assigned

Oct 18, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Elizabeth A Down, RN

Title

Administrator

Phone

(253) 272-3916

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tacoma Ambulatory Surgery Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174512503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "SUITE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-3916",
            "fax_number": "253-627-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 6TH AVE",
            "address_2": "SUITE 100",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054040",
            "telephone_number": "253-272-3916",
            "fax_number": "253-627-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOWN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-272-3916",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "FX00055924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7067713",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annette Marie Tardif, PHD, MA
• Elizabeth Grace Tarr
• Cathleen Tarro, PTA
• Gary Tart, MD
• Donna Rachel Tarver, LICSW
• Erica Olivia Tasi, APRN
• Sophia Lyann Tasler, R.D.
• Dawn M. Tate
• Jessica Tate
• Gary R Taubman, M.D.

• Clinic/Center in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.