MEDICAL IMAGING NORTHWEST, LLP


Address: 11212 Sunrise Blvd E, Suite 200, Puyallup, WA 98374-8847
Phone: 2538414353

MEDICAL IMAGING NORTHWEST, LLP (NPI# 1588788731) 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) 1588788731
Entity Type Organization
Organization Name MEDICAL IMAGING NORTHWEST, LLP
Practice Address 11212 Sunrise Blvd E
Suite 200
Puyallup
WA 98374-8847
Mailing Address 7424 Bridgeport Way W
Suite 103
Lakewood
WA 98499-8120
Practice Telephone 2538414353
Practice Fax Number 2535815698
Mailing Telephone 2538414353
Mailing Fax Number 2535815698
Enumeration Date 2007-03-16
Last Update Date 2007-11-07
Authorized Official Name DR. ANDREW R LEVINE (CHAIRMAN EXECUTIVE COMMITTEE)
Authorized Official Telephone 2538414353
Authorized Official Credential MD
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 Identifier

State Issuer Identifier Type Code
WA 7817505 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1356542641 Medical Imaging Northwest, LLP Radiology 21110 Sr 410 E, Suite 110, Bonney Lake, WA 98391-8457 2007-05-31
1518920206 Medical Imaging Northwest, LLP Specialist 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-11

Office Location

Street Address 11212 SUNRISE BLVD E
SUITE 200
City PUYALLUP
State WA
Zip Code 98374-8847

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720068067 Jason Dean Brayley Family Medicine 11212 Sunrise Blvd E, Ste 201, Puyallup, WA 98374-8847 2006-01-20
1215181482 Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance Clinic/Center 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 2008-11-13
1790963866 Northwest Foot and Ankle Center, Ps Podiatrist 11212 Sunrise Blvd E, Suite 203, Puyallup, WA 98374-8847 2008-01-31
1811177975 Family Foot Health Center Inc. Podiatrist 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 2007-11-06
1316079254 John Hung, Md, Pllc Orthopaedic Surgery 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 2007-03-09
1043371909 Ryan Riel Orthopaedic Surgery 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 2006-12-13
1891705935 Timothy S Grace Podiatrist 11212 Sunrise Blvd E, # 203, Puyallup, WA 98374-8847 2006-08-09
1548201163 Daniel C Ene Stroescu Internal Medicine 11212 Sunrise Blvd E, Suite 201, Puyallup, WA 98374-8847 2006-06-08
1386683795 Physiotherapy Associates Inc Clinic/Center 11212 Sunrise Blvd E, Suite 202, Puyallup, WA 98374-8847 2006-06-05
1134176340 Theresa K Martin Physician Assistant 11212 Sunrise Blvd E, #201, Puyallup, WA 98374-8847 2006-05-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073173977 Courtney Yant Registered Nurse 300 3rd St Se, Puyallup, WA 98374 2019-06-13
1013480508 Tracy Pina Massage Therapist 16909 123rd Ave E, Puyallup, WA 98374 2019-01-07
1922524917 Edith M Wood Registered Nurse 13517 152nd St Ct E, Puyallup, WA 98374 2017-08-21
1669875993 Jillian C S Longway Registered Nurse 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 2014-10-01
1427302025 Nadeem Jaffer Internal Medicine 3800 3rd St. Se, Puyallup, WA 98374 2012-11-04
1851605356 Madigan Army Medical Ctr Clinic/Center 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 2010-07-27
1326368135 Matt Karl Jahns Massage Therapist 2402 20th St Se, Puyallup, WA 98374 2010-06-03
1982833208 Roxy Sturgeon Speech-Language Pathologist 2309 43rd Ave Se, Puyallup, WA 98374 2009-07-08
1497921191 Morgan Counseling Services Inc. Substance Abuse Rehabilitation Facility 10312 120th Street East, Suite #3, Puyallup, WA 98374 2008-05-02
1700055795 Walter Royal Patterson Jr. Registered Nurse 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 2008-02-25
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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
1598713273 Sound Medical Imaging Pllc Radiology 12615 Meridian East, Ste 3, Puyallup, WA 98373-3426 2006-05-04
1942401286 Timothy Ben Johnson Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2007-05-31
1710941612 David Alan Davidson Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-17
1215991120 Londe Apolphe Richardson Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-17
1841254752 Dan Henry Martin Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-17
1063476984 Charles E Wang Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-17
1538123674 Martin Laren Graham Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-14
1154385292 Clare Zeno Andersen Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-14
1255395307 Katherine Ann Choi-chinn Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-14
1326002478 Alan David Pearson Radiology 222 15th Ave Se, Puyallup, WA 98372-3754 2006-04-14
Find all providers in PUYALLUP

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City PUYALLUP
Zip Code 98374

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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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