MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE (NPI# 1083802946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083802946 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE |
| Practice Address |
1201 Pacific Ave Suite 400 Tacoma WA 98402-4301 |
| Mailing Address |
1304 Fawcett Ave Ste 100 Tacoma WA 98402-1900 |
| Practice Telephone | 2538414353 |
| Practice Fax Number | 2535815698 |
| Mailing Telephone | 2537614200 |
| Mailing Fax Number | 2538453680 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | DR. DOUGLAS P SEILER (PRESIDENT) |
| Authorized Official Telephone | 2537614200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Diagnostic Imaging Northwest | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336419514 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 1450 5th St Se, #4600, Puyallup, WA 98372-4602 | 2012-01-05 |
| 1699063354 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6535 | 2011-07-15 |
| 1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
| 1760636930 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 21110 Sr 410 E, #110, Bonney Lake, WA 98391-8457 | 2008-11-13 |
| Street Address |
1201 PACIFIC AVE SUITE 400 |
| City | TACOMA |
| State | WA |
| Zip Code | 98402-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841310323 | Timnit Ghermay | Radiology | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-03-30 |
| 1336758432 | Kali Marie Thibault | Physician Assistant | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2020-07-24 |
| 1720632938 | Katerina Schwab | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-25 |
| 1457913659 | Ben Michael Helms | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-08 |
| 1275195471 | Thomas Davidson | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-08 |
| 1548822752 | Taylor Jenkins | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-08 |
| 1801458013 | Noelle Julie Putman | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-08 |
| 1407418890 | Patricia Elizabeth Grim | Behavior Technician | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2019-07-05 |
| 1760042238 | James Michael Hoke | Nurse Practitioner | 1201 Pacific Ave, Tacoma, WA 98402 | 2019-06-17 |
| 1578874772 | Quinita Lachelle Ellis | Counselor | 1201 Pacific Ave, Tacoma, WA 98402-4301 | 2010-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1831735802 | Nickolas Justin Wise | Case Manager/Care Coordinator | 1159 Market St, Tacoma, WA 98402 | 2019-11-25 |
| 1841835436 | Michael Roy Bolden | Counselor | 1205 Tacoma Ave S., Suite 1205, Tacoma, WA 98402 | 2019-11-07 |
| 1073024980 | Megan Elizabeth Charron Mourfield | Denturist | 725 St Helens Ave S, Tacoma, WA 98402 | 2017-10-18 |
| 1104367937 | Janelle Santiago | Counselor | Mcdonald Smith Building 110, Uw Autism Center Tacoma, Tacoma, WA 98402 | 2017-03-13 |
| 1891167862 | Tanya Larson Therapy | Community/Behavioral Health | 1102 A. St., Suite 109, (suite 109), Tacoma, WA 98402 | 2015-10-29 |
| 1609242148 | Ashley Lorraine Dahlgren | Peer Specialist | 702 S 14th St., Tacoma, WA 98402 | 2015-08-19 |
| 1821416470 | Nicole Villarreal Mccormick | Acupuncturist | 711 A Ct #100, Tacoma, WA 98402 | 2014-04-01 |
| 1184055824 | Robyn Marie Callahan | Social Worker | 1102 A Street, Suite 202 B, Tacoma, WA 98402 | 2013-12-05 |
| 1679909410 | Kristin Sweet Fischer | Counselor | 708 Market St Unit 411, Tacoma, WA 98402 | 2013-09-25 |
| Find all providers in zip 98402 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396814166 | Tra-minw, Ps | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2006-11-07 |
| 1306451794 | Affiliated Radiology, LLC | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2020-09-11 |
| 1568531242 | Union Avenue Open Mri LLC | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2006-11-07 |
| 1376612069 | Tacoma Magnetic Imaging Lp | Clinic/Center | 2502 S Union Ave, Tacoma, WA 98405-1328 | 2006-11-07 |
| 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 |
| 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 |
| 1053926444 | Affiliated Radiology, LLC | Clinic/Center | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2020-09-11 |
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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.