Alderwood Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALDERWOOD SURGERY CENTER LLC

Doing business as

Allure Esthetic

Practice address

3500 188TH St SW Ste 670
Lynnwood, WA 98037-4782

Phone

(206) 209-0988

NPI assigned

Sep 13, 2018

Organization subpart

Yes

Parent organization

ALDERWOOD SURGERY CENTER LLCAs reported in NPPES

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

Authorized official

Name

Gricelda Prado

Title

Chief Operating Officer

Phone

(206) 209-0988

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Allure Esthetic Doing business as

Tax ID family

Alderwood Surgery Center LLC2 organizations share this tax ID, including this one

Part of

Alderwood Surgery Center LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alderwood Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Lynnwood, WA
  • NPI 1386858595
  NPD tax ID

Locations

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1376026575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW STE 670",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 188TH ST SW STE 670",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374782",
            "telephone_number": "206-209-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDERWOOD SURGERY CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALDERWOOD SURGERY CENTER LLC",
        "enumeration_date": "2018-09-13",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "GRICELDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "206-209-0988"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "457395",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allure Esthetic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alderwood Superior Healthcare PLLC
• Alderwood Surgery Center LLC
• Alderwood Vision Clinic, Inc. P.S.
• Alderwood Vision Therapy and Development PLLC
• David Alan Alexander, MD
• Kelsey Rae Alfonso

• Ambulatory Surgical Clinic/Center in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.