ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC (NPI# 1093771289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093771289 |
Entity Type | Organization |
Organization Name | ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC |
Other Organization Name | SOUND DIAGNOSTICS |
Practice Address |
14701 179th Ave Se Monroe WA 98272-1108 |
Mailing Address |
Po Box 1480 Mukilteo WA 98275-1480 |
Practice Telephone | 3607911447 |
Mailing Telephone | 4252524000 |
Mailing Fax Number | 4254388666 |
Enumeration Date | 2006-04-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | ROXANNE L O'BRIEN (OWNER/PRESIDENT) |
Authorized Official Telephone | 4252524000 |
Authorized Official Credential | ARMS, RDCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | LABOR & INDUSTRIES | 0096247 | 01 |
Other Name | Type Code |
---|---|
Sound Diagnostics | Doing Business As Name - Organization |
Street Address |
14701 179TH AVE SE |
City | MONROE |
State | WA |
Zip Code | 98272-1108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104828813 | Michael E Dorney | Internal Medicine | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2005-08-12 |
1811500887 | Jennifer J Walters | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-08-28 |
1912539099 | Xin Wu | Nurse Practitioner | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-02-06 |
1336786649 | Lauren Keanna Jensen | Registered Nurse | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-12-05 |
1578129136 | Yoko Louise Criner | Occupational Therapist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-05-18 |
1770147431 | Kari Riedman | Dietitian, Registered | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-04-29 |
1215498795 | Walter Fasch | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2019-03-27 |
1356834386 | Sarah Katherine Megahee | Physical Therapist | 14701 179th Ave Se, Monroe, WA 98272 | 2018-06-13 |
1447789573 | Crystal Bae | Emergency Medicine | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2017-06-12 |
1629529599 | Sei-jung Lee | Pharmacist | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2016-10-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
Find all providers in zip 98272 |
Taxonomy Code | 246XS1301X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Spec/Tech, Cardiovascular |
Specialization | Sonography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265053300 | Ahmad Siyar | Spec/Tech, Cardiovascular | 1600 E Jefferson St Ste 500, Seattle, WA 98122-5647 | 2020-04-29 |
1235671587 | Third Eye Imaging LLC | Spec/Tech, Cardiovascular | 3405 W Nob Hill Blvd, Yakima, WA 98902-4732 | 2016-11-17 |
1831641570 | Shirla Underwood | Spec/Tech, Cardiovascular | 3705 S Molter Rd, Liberty Lake, WA 99019 | 2016-10-28 |
1174820328 | Hibo Issa | Spec/Tech, Cardiovascular | 42 151st Pl Se, Bellevue, WA 98007-5222 | 2011-02-24 |
1366648388 | Michelle L Fox | Spec/Tech, Cardiovascular | University of Wa M C, 1959 Ne Pacific St., Seattle, WA 98195-0001 | 2007-06-26 |
1073131488 | Gwendolyn Starr Curfman | Spec/Tech, Cardiovascular | 5300 Tallman Ave Nw, Seattle, WA 98107-3932 | 2020-07-12 |
1033550579 | Ajay Zachariah | Spec/Tech, Cardiovascular | 11714 N Creek Pkwy N Ste 100, Bothell, WA 98011-8250 | 2013-07-12 |
1932396447 | Angelina Lorain Summers | Spec/Tech, Cardiovascular | 1615 Delaware St, Longview, WA 98632-2310 | 2007-09-28 |
Please comment or provide details below to improve the information on ADVANCED PERIPHERAL VASCULAR DIAGNOSTICS INC.
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.