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Concordia Star Medical LLC

Primary Care Clinic/Center in Puyallup, WA · enumerated 2011 · authorized official Ladie Arana-Domondon, Owner - Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508134792

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Registry record

Entity type Organization (Type 2)
Legal business name Concordia Star Medical LLC
Practice address 118 7th Ave Sw, Suite A, Puyallup, WA, 98371
Phone (253) 579-0067
Fax (253) 579-0068
Enumeration date Dec 2, 2011
Last updated in NPPES May 15, 2015

Taxonomy & classification

261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities · License MD00034362 (WA) Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities · License MD00034362 (WA) Primary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License MD00034362 (WA) Secondary

Authorized official

Name Ladie Arana-Domondon
Title Owner - Ceo
Phone (253) 209-9009

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Concordia Star Medical LLC?
The NPI for Concordia Star Medical LLC is 1508134792, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Concordia Star Medical LLC?
NPPES lists Ladie Arana-Domondon (Owner - Ceo) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-05-15.