PHYSICIAN DIAGNOSTIC SERVICES (NPI# 1013113638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013113638 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN DIAGNOSTIC SERVICES |
| Practice Address |
1075 Jadwin Ave Suite 102 Richland WA 99352-3437 |
| Mailing Address |
Po Box 1408 Richland WA 99352-1408 |
| Practice Telephone | 5099460600 |
| Practice Fax Number | 5099437909 |
| Mailing Telephone | 5099460600 |
| Mailing Fax Number | 5099437909 |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRENDEN MANAWADU (BOM) |
| Authorized Official Telephone | 5099460600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PHYSICIAN DIAGNOSTIC SERVICES, PLLC | 1075 Jadwin Ave, Richland, WA 99352 |
| Street Address |
1075 JADWIN AVE SUITE 102 |
| City | RICHLAND |
| State | WA |
| Zip Code | 99352-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740265750 | Laboratory Corporation of America | Clinical Medical Laboratory | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2005-12-13 |
| 1316482821 | Erica Arias | Physician Assistant | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2016-12-20 |
| 1376808642 | V5 Spine Center and Pain Clinic | Pain Medicine | 1075 Jadwin Ave, Suite 201, Richland, WA 99352-3437 | 2012-07-11 |
| 1225230527 | Western Anesthesia Associates Inc Ps | Pain Medicine | 1075 Jadwin Ave, Suite 201, Richland, WA 99352-3437 | 2007-05-31 |
| 1508068800 | Northwest Ambulatory Physicians Pllc | Clinic/Center | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2007-05-31 |
| 1114129418 | Bingumal Ranjith Manawadu | Anesthesiology | 1075 Jadwin Ave, Suite 201, Richland, WA 99352-3437 | 2007-05-31 |
| 1083732440 | Surgical Weight Loss Clinic of Eastern Washington Pllc | Clinic/Center | 1075 Jadwin Ave, Suite 203, Richland, WA 99352-3437 | 2007-03-26 |
| 1366457236 | Alexey A Ryskin | Anesthesiology | 1075 Jadwin Ave, Richland, WA 99352-3437 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326683053 | Thrive On Counseling, LLC | Counselor | 718 Jadwin Avenue, Richland, WA 99352 | 2019-11-18 |
| 1225687650 | Tri-cities Marital and Family Therapy | Marriage & Family Therapist | 925 Stevens Dr., Suite 3a, Richland, WA 99352 | 2019-09-09 |
| 1053966754 | Darla Nicole Carpenter-sams | Social Worker | 845 Stevens Suite 3a, Richland, WA 99352 | 2019-08-08 |
| 1538720735 | Compass Home Health Care | Home Health | 4281 Tigar Lane, Richland, WA 99352 | 2019-06-27 |
| 1164089934 | Tri-city Orthodontics, LLC | Dentist | 3200 Duportail St, Ste 203, Richland, WA 99352 | 2019-05-28 |
| 1760956361 | Behavior Treatment Solutions LLC | Behavioral Analyst | 403 Adams St, Richland, WA 99352 | 2019-01-16 |
| 1528566981 | Rxltc, Pllc | Pharmacy | 969 Stevens Dr Ste 1b, Richland, WA 99352 | 2018-01-31 |
| 1154829992 | Jason Brody Anderson | Registered Nurse | 888 Swift Blvd # 180, Richland, WA 99352 | 2018-01-26 |
| 1093247355 | Anderson Mcgilliard | Physical Therapist | 875 Gage Blvd, Richland, WA 99352 | 2017-03-28 |
| 1871042689 | Jennifer Bramhall | Nurse Practitioner | 1100 Goethals Drive Suite F, Kadlec Inland Cardiology, Richland, WA 99352 | 2016-09-22 |
| Find all providers in zip 99352 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431752 | Bows-r-bowties | Clinic/Center | 646 Strander Blvd, Tukwila, WA 98188-2923 | 2016-12-12 |
| 1861775249 | 3d Imaging and Diagnosis LLC | Clinic/Center | 5340 Corporate Center Loop Se Ste A, Lacey, WA 98503-5590 | 2011-09-22 |
| 1073773198 | Providence Everett Medical Center | Clinic/Center | 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 | 2008-06-12 |
| 1285850461 | Brain Matters Imaging Centers | Clinic/Center | 1015 8th Ave North, Seattle, WA 98109-3504 | 2007-04-17 |
| 1790822070 | Advanced Open Imaging LLC | Clinic/Center | 19401 40th Ave West, Suite 140, Lynnwood, WA 98036 | 2007-01-30 |
| 1184790032 | Tra-minw, Ps | Clinic/Center | 34515 9th Ave. South, Federal Way, WA 98003 | 2006-11-24 |
| 1356416705 | Peninsula Medical Imaging, Pllc | Clinic/Center | 675 N. Fifth Ave, Suite 2b, Sequim, WA 98382-3201 | 2006-11-21 |
| 1396814166 | Tra-minw, Ps | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2006-11-07 |
| 1588775662 | Lynden Medical X-ray LLC | Clinic/Center | 9310 Hammer Rd, Lynden, WA 98264-9530 | 2006-08-31 |
| 1093750614 | Valley Imaging | Clinic/Center | 314 S 11th Ave, Ste B, Yakima, WA 98902-3214 | 2006-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.