CDI NORTHWEST LLC


Address: 7308 Bridgeport Way West, Suite 101, Lakewood, WA 98499
Phone: 2536821688

CDI NORTHWEST LLC (NPI# 1336175454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336175454
Entity Type Organization
Organization Name CDI NORTHWEST LLC
Other Organization Name CENTER FOR DIAGNOSTIC IMAGING
Practice Address 7308 Bridgeport Way West
Suite 101
Lakewood
WA 98499
Mailing Address Po Box 24582
Seattle
WA 98124-0582
Practice Telephone 2536821688
Practice Fax Number 2536821667
Mailing Telephone 9525428553
Mailing Fax Number 9525136880
Enumeration Date 2006-06-23
Last Update Date 2020-08-22
Authorized Official Name DONALD D JACOBSON (OFFICER ON THE BOARD SECRETARY)
Authorized Official Telephone 9525436500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Center for Diagnostic Imaging Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144297573 Cdi Northwest LLC Radiology 33801 First Way South, Suite 101, Federal Way, WA 98003 2006-03-03

Office Location

Street Address 7308 BRIDGEPORT WAY WEST
SUITE 101
City LAKEWOOD
State WA
Zip Code 98499

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1275159592 Sea Mar Community Health Centers Clinic/Center 5700 100th Street Se, Suite 510, Lakewood, WA 98499 2020-06-23
1568018828 Heather Leigh Andrade Behavioral Analyst 6210 75th St W Ste 100, Lakewood, WA 98499 2019-08-13
1043870876 Seoul Chinese Herbs Inc Acupuncturist 8705 S. Tacoma Way, Lakewood, WA 98499 2019-06-14
1013572064 Puget Sound Kidney Centers Clinic/Center 11950 47th Ave Sw, Lakewood, WA 98499 2019-05-06
1447736657 Marcela Cunan Counselor 9330 59th Avenue Southest, Lakewood, WA 98499 2018-07-11
1609382381 Leroy Moore IIi Counselor 8811 S. Tacoma Way, 106, Lakewood, WA 98499 2017-12-18
1578077657 Andrea Gaston Behavior Technician 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 2017-11-27
1609389931 Jennifer King Social Worker 5900 100th St Sw Ste 17b, Lakewood, WA 98499 2017-11-08
1750806337 Wonyoung Lee Counselor 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 2017-08-04
1043749443 Frederick Paltron Edwards Counselor 9500 Front Street, Suite 100, Lakewood, WA 98499 2017-06-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568822351 Med Health Diagnostics Corp Radiology 118 Liberty Dr, Lakewood, NJ 08701-4135 2016-03-07
1669439667 Chin Seung Radiology 3700 South St, Lakewood, CA 90712-1419 2006-04-26
1831158468 Raymond Alan Mencini Radiology 11700 W 2nd Pl Ste 100, Lakewood, CO 80228-1707 2006-03-22
1013986249 John B Whitaker Radiology 12687 W Cedar Dr Ste 200, Lakewood, CO 80228-2014 2006-03-17
1255300745 Robert S Seigel Radiology 12687 W Cedar Dr, Suite 200, Lakewood, CO 80228-2010 2006-03-16
1255306726 Colorado Imaging Associates PC Radiology 11600 West 2nd Place, Lakewood, CO 80228 2006-02-20
1629065602 Arash Momeni Radiology 1746 Cole Blvd Ste 150, Lakewood, CO 80401-3267 2005-10-04
1427053024 Chandru Jain Radiology 1166 River Avenue, Ste 102, Lakewood, NJ 08701-5035 2005-06-20
1770586356 Andrew A Meade Radiology 1746 Cole Blvd, Suite 150, Lakewood, CO 80401-3208 2005-05-27
1386284834 Century Radiology Medical Group, Inc Radiology 3700 South St, Lakewood, CA 90712-1419 2020-01-13
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Competitor

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City LAKEWOOD
Zip Code 98499

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Dataset Information

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.

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