OLYMPIA IMAGING CENTER (NPI# 1548474075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548474075 |
| Entity Type | Organization |
| Organization Name | OLYMPIA IMAGING CENTER |
| Practice Address |
3425 Ensign Rd Ne Ste320 Olympia WA 98506-5425 |
| Practice Telephone | 3604911494 |
| Mailing Telephone | 3604911494 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RODGER A LAWTON (PARTNER) |
| Authorized Official Telephone | 3604911494 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
602643 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | CITY LICENSE | 07-00029280 | 01 |
| Street Address |
3425 ENSIGN RD NE STE320 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98506-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588644413 | Michael Edward Werner | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2006-01-18 |
| 1841619061 | Rodger A. Lawton, Dmd, Ps | Clinic/Center | 3425 Ensign Rd Ne, Suite 210, Olympia, WA 98506-5425 | 2014-04-15 |
| 1902162829 | Gheorghe Emanuel Plesiu | Internal Medicine | 3425 Ensign Rd Ne, Suite 220, Olympia, WA 98506-5063 | 2012-04-04 |
| 1417241282 | Austin Rubel | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2011-06-08 |
| 1730310426 | Peter David Gauger | Dentist | 3425 Ensign Rd Ne, Suite 310, Olympia, WA 98506-5425 | 2009-07-29 |
| 1043476211 | Rodger A Lawton, Dmd, Ps | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2008-08-06 |
| 1710161344 | Providence Health & Services Washington | Internal Medicine | 3425 Ensign Rd Ne, Suite 220, Olympia, WA 98506-5063 | 2007-12-18 |
| 1710013263 | Molli A Dutra | Optometrist | 3425 Ensign Rd Ne, Olympia, WA 98506-5425 | 2007-02-26 |
| 1316088602 | Leslie L Gracey | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2007-02-09 |
| 1801946736 | Rodger Alton Lawton | Dentist | 3425 Ensign Rd Ne, Ste 210, Olympia, WA 98506-5425 | 2007-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
| 1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
| 1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
| 1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
| 1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
| 1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
| 1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
| 1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
| 1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
| 1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
| Find all providers in zip 98506 | ||||
| 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 |
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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.