Organization Active NPI

TLC Physicians PLLC

  • Family Medicine Physician
  • Tukwila, WA
National Provider Identifier
1235300260
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00046816 Issued in WA
Legal business name
TLC PHYSICIANS PLLC
Practice address
13100 Military Rd S
Ste 1
Tukwila, WA 98168-3086
Phone
(206) 242-7334
Fax
(206) 242-7335
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Loan Ngoc Vu, M.D.NPI 1396799870
Title
President
Phone
(206) 242-7334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD00046816 WA Primary

Addresses

Primary practice location

13100 Military Rd S
Ste 1
Tukwila, WA 98168-3086

Mailing address

13100 Military Rd S
Ste 1
Tukwila, WA 98168-3086
Phone (206) 242-7334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110706000079 WA Part B Supplier - Clinic/Group Practice 5395923890 Receives reassigned benefits from 2 practitioners
Practice locations: Tukwila, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2025031TLC Physicians PLLC13100 Military Rd S Ste 1, Tukwila, WA 98168Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

13100 Military Rd S
Ste 1
Tukwila, WA 98168
Phone (206) 242-7333

13100 Military Rd S
Tukwila, WA 98168
Phone (206) 242-7333

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1235300260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MILITARY RD S",
            "address_2": "STE 1",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683086",
            "telephone_number": "206-242-7334",
            "fax_number": "206-242-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MILITARY RD S",
            "address_2": "STE 1",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981683086",
            "telephone_number": "206-242-7334",
            "fax_number": "206-242-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-242-7334",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00046816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.