Provider Demographics
NPI:1508241217
Name:CHOI, SUNG
Entity Type:Individual
Prefix:
First Name:SUNG
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12100 NORTHUP WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-1920
Mailing Address - Country:US
Mailing Address - Phone:425-341-4818
Mailing Address - Fax:425-296-1355
Practice Address - Street 1:12100 NORTHUP WAY
Practice Address - Street 2:SUITE A
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-1920
Practice Address - Country:US
Practice Address - Phone:425-341-4818
Practice Address - Fax:425-296-1355
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247ZC0005XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyClinical Laboratory Director, Non-physician