DISTINCTIVE IMAGING, LLC (NPI# 1326323163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326323163 |
| Entity Type | Organization |
| Organization Name | DISTINCTIVE IMAGING, LLC |
| Practice Address |
21806 103rd Avenue Ct E Suite 201 Graham WA 98338-8115 |
| Practice Telephone | 2538474388 |
| Practice Fax Number | 2538479492 |
| Mailing Telephone | 2538474388 |
| Mailing Fax Number | 2538479492 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2011-10-12 |
| Authorized Official Name | LAWRENCE LADOWSKI (OWNER) |
| Authorized Official Telephone | 2538474388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 603148564 | WA | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | DISTINCTIVE IMAGING, LLC | 2740 Sand Lake Road, Longwood, FL 32779 |
| Street Address |
21806 103RD AVENUE CT E SUITE 201 |
| City | GRAHAM |
| State | WA |
| Zip Code | 98338-8115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962495820 | Jillene M Lund | Physical Therapist | 21806 103rd Avenue Ct E, #202, Graham, WA 98338-8115 | 2005-08-25 |
| 1750820726 | Richard B Hambrice | Physical Therapist | 21806 103rd Avenue Ct E, Suite 103, Graham, WA 98338-8115 | 2017-02-23 |
| 1376910067 | Janette Fetterly | Physical Therapist | 21806 103rd Avenue Ct E, Ste 103, Graham, WA 98338-8115 | 2015-08-28 |
| 1770990608 | Aaron Kilfoyle | Specialist/Technologist | 21806 103rd Avenue Ct E, Graham, WA 98338-8115 | 2014-07-11 |
| 1386056497 | James Roy Boyd | Occupational Therapist | 21806 103rd Avenue Ct E, Suite 103, Graham, WA 98338-8115 | 2014-05-22 |
| 1841630480 | Megan Fain | Physical Therapist | 21806 103rd Avenue Ct E, Ste 103, Graham, WA 98338-8115 | 2013-06-27 |
| 1346586427 | Tonya Lynn Hill | Physical Therapy Assistant | 21806 103rd Avenue Ct E, Ste 103, Graham, WA 98338-8115 | 2012-12-18 |
| 1619274438 | Matthew B Conant | Physical Therapist | 21806 103rd Avenue Ct E, Ste 103, Graham, WA 98338-8115 | 2011-02-14 |
| 1114242195 | Martha Diane Schenk | Chiropractor | 21806 103rd Avenue Ct E, Ste101, Graham, WA 98338-8115 | 2010-04-01 |
| 1326362625 | Marc Allen Finkhouse | Massage Therapist | 21806 103rd Avenue Ct E, #202, Graham, WA 98338-8115 | 2010-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932750858 | Sue Ann Prante | Technician | 10411 194th St Ct E, Graham, WA 98338 | 2019-09-23 |
| 1053885442 | Elva Flannery | Counselor | 26812 118th Ave E, Graham, WA 98338 | 2019-01-18 |
| 1801383484 | Dansie Pediatric, Pllc | Dentist | 3316 56th St Nw, Suite 100, Gig Harbor, WA 98338 | 2018-04-18 |
| 1568903342 | Jordan Landholm | Chiropractor | 10305 196th St Ct E Ste F, Graham, WA 98338 | 2017-03-14 |
| 1336524594 | Dj and Ak Spencer Dmd Ps | Durable Medical Equipment & Medical Supplies | 22205 Meridian Ave E, Suite 109, Graham, WA 98338 | 2015-07-29 |
| 1477971307 | Lylia Dixon | Registered Nurse | 10238 194th St E Apt R108, Graham, WA 98338 | 2014-03-28 |
| 1992935605 | James Kung Chun Kao | Pharmacist | 22201 Meridian East, Graham, WA 98338 | 2009-07-16 |
| 1316190622 | Melissa Ann Castro | Massage Therapist | 22007 Meridain E Suite D, Graham, WA 98338 | 2008-10-30 |
| 1861608036 | John T Chen | Dentist | 10221 198th St E, Graham, WA 98338 | 2007-05-15 |
| 1073729224 | Ojh Clinic #7, Inc. | Dentist | 10221 198th St. E., Graham, WA 98338 | 2007-05-15 |
| Find all providers in zip 98338 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164689063 | Kara Beth Faubion | Specialist | 23103 86th Ave E, Graham, WA 98338-9118 | 2008-05-19 |
| 1255677126 | Djbs Company Inc | Specialist | 432 Oak St, Graham, TX 76450-2522 | 2012-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643978 | Roxanne Grant-duell | Specialist | 12811 Canyon Rd E Ste D, Puyallup, WA 98373-6301 | 2020-06-08 |
| 1710500814 | Foundation Speech Language Learning | Specialist | 7406 27th St W Ste 24a, University Place, WA 98466-4636 | 2020-05-22 |
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1457918351 | Barbara Irene Syverson | Specialist | 418 Ne 4th Ave Ste 105, Camas, WA 98607-2158 | 2019-05-26 |
| 1699231662 | Lice Spies LLC | Specialist | 8923 236th St Sw Ste C, Edmonds, WA 98026-9508 | 2019-02-14 |
| 1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
| 1538635420 | Amy Yvonne Galindo-ortega | Specialist | 9105 Ne Highway 99 Ste 201, Vancouver, WA 98665-8974 | 2018-10-17 |
| 1780150904 | Lita Fogle | Specialist | 6926 Ne Fourth Plain Blvd Ste 100, Vancouver, WA 98661-7254 | 2018-10-15 |
| 1083199327 | Linnea Joy Wahlstrom-tarbet | Specialist | 8524 Steilacoom Blvd Sw Ste 201b, Lakewood, WA 98498-4772 | 2018-10-02 |
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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.