LYNDEN MEDICAL X-RAY LLC


Address: 9310 Hammer Rd, Lynden, WA 98264-9530
Phone: 3603545419

LYNDEN MEDICAL X-RAY LLC (NPI# 1588775662) 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) 1588775662
Entity Type Organization
Organization Name LYNDEN MEDICAL X-RAY LLC
Practice Address 9310 Hammer Rd
Lynden
WA 98264-9530
Practice Telephone 3603545419
Practice Fax Number 3603545400
Mailing Telephone 3603545419
Mailing Fax Number 3603545400
Enumeration Date 2006-08-31
Last Update Date 2020-08-22
Authorized Official Name MRS. DEANNA B VAN BEEK (OWNER TECHNOLOGIST)
Authorized Official Telephone 3603601237
Authorized Official Credential RT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
RT00002493 WA Ambulatory Health Care Facilities

Office Location

Street Address 9310 HAMMER RD
City LYNDEN
State WA
Zip Code 98264-9530

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1295151900 Duane Korthuis Specialist/Technologist 1201 Bradley Rd., Lynden High School, Lynden, WA 98264 2014-03-06
1255649869 James Kimo Jandoc Physical Medicine & Rehabilitation 1610 Grover St Ste C3, Lynden, WA 98264 2010-09-16
1417288101 Amanda Shannon Counselor 506 Grover St Ste 112, Lynden, WA 98264 2010-01-20
1033349048 Brenda Jean Jensen Massage Therapist 104 Grover St, Lynden, WA 98264 2009-07-24
1295980704 Jeannett M. Penner Physical Therapist 8862 Bender Road, Suite 101, Lynden, WA 98264 2008-11-25
1992917884 Olson Family Chiropractic, Inc Chiropractor 8304 Guide Meridian Rd., Lynden, WA 98264 2007-05-04
1477678209 Lynden Family Chiropractic LLC Chiropractor 105-5th Street, Suite 105, Lynden, WA 98264 2007-03-20
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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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
1093750614 Valley Imaging Clinic/Center 314 S 11th Ave, Ste B, Yakima, WA 98902-3214 2006-06-18
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Competitor

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City LYNDEN
Zip Code 98264

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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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