DYNAMIC MEDICAL DIAGNOSTIC IMAGING CENTERS, LLC (NPI# 1588899173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588899173 |
| Entity Type | Organization |
| Organization Name | DYNAMIC MEDICAL DIAGNOSTIC IMAGING CENTERS, LLC |
| Practice Address |
5038 Tacoma Mall Blvd Suite C Tacoma WA 98409-7103 |
| Practice Telephone | 2534769900 |
| Practice Fax Number | 2534760148 |
| Mailing Telephone | 2534769900 |
| Mailing Fax Number | 2534760148 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |
| Authorized Official Name | DR. PHILIP L LUND (MANAGING MEMBER) |
| Authorized Official Telephone | 2536611700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
602898875 | WA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | DYNAMIC MEDICAL DIAGNOSTIC IMAGING CENTERS, LLC | 5038 Tacoma Mall Blvd #c, Tacoma, WA 98409 |
| Street Address |
5038 TACOMA MALL BLVD SUITE C |
| City | TACOMA |
| State | WA |
| Zip Code | 98409-7103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710957329 | Shaofan Kevin Xu | Dentist | 5038 Tacoma Mall Blvd, Ste. A, Tacoma, WA 98409 | 2006-01-25 |
| 1578823852 | Kevin Xu D.d.s., M.s.,p.s., Inc. | Dentist | 5038 Tacoma Mall Blvd, Ste. A, Tacoma, WA 98409-7103 | 2012-05-21 |
| 1194809467 | Megan Rochelle Miller | Dentist | 5038 Tacoma Mall Blvd, Suite A, Tacoma, WA 98409-7140 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053942805 | Terah Jo Barker | Behavior Technician | 4301 South Pine St., Suite 505, Tacoma, WA 98409 | 2020-01-30 |
| 1427526797 | Carrissa Bentley | Social Worker | 3901 S. Fife Street, Tacoma, WA 98409 | 2018-11-05 |
| 1396255972 | Julie Ann Sunada | Nurse Practitioner | 2505 S 38th St Ste 109, Tacoma, WA 98409 | 2017-10-09 |
| 1306389820 | Laura Town | Chiropractor | 3640 S Cedar St, Ste P, Tacoma, WA 98409 | 2016-12-01 |
| 1114476082 | Chelsea Marie Jensen | Massage Therapist | 701 Commerce Street Apartment 307, Tacoma, WA 98409 | 2016-10-03 |
| 1831574730 | Artika Naidu | Optometrist | 4502 South Steele #700, Located Inside Macy's Lenscrafters, Tacoma, WA 98409 | 2015-07-22 |
| 1972918399 | Tacoma Dental and Implant Center Ps | Clinic/Center | 4704 South Oakes St #103, Tacoma, WA 98409 | 2014-06-24 |
| 1457795957 | Ana Amparo Penas Vasquez | Clinical Nurse Specialist | 2505 South 38th St, Bldg A Suite 109, Tacoma, WA 98409 | 2013-04-26 |
| 1033452156 | Richard William Solitaire | Counselor | 4301 S. Pine St., 30-19, Tacoma, WA 98409 | 2013-03-27 |
| 1790042810 | Tara Kerin Garland | Counselor | 5921 S. Verde St., Tacoma, WA 98409 | 2012-04-13 |
| Find all providers in zip 98409 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467666701 | Objective Diagnostics & Research Ps | Clinic/Center | 4803 Center St, Tacoma, WA 98409-2319 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982653952 | Capital Imaging LLC | Clinic/Center | 220 Sw 43rd St, Renton, WA 98055-4936 | 2006-05-08 |
| 1952399123 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 3801 5th St Se, Suite 110, Puyallup, WA 98374-2106 | 2005-10-11 |
| 1710980511 | Open Mri of Federal Way, L.L.C. | Clinic/Center | 33301 9th Ave S, Ste 105, Federal Way, WA 98003-2600 | 2005-05-24 |
| 1891946257 | Olympia Neurology, Pllc | Clinic/Center | 128 Lilly Rd Ne, Suite 101, Olympia, WA 98506-7400 | 2008-10-03 |
| 1619127206 | Olympia Orthopaedic Associates, Pllc | Clinic/Center | 3901 Capital Mall Dr Sw, Ste C, Olympia, WA 98502-8654 | 2008-09-19 |
| 1174799282 | South Sound Neurosurgery Pllc | Clinic/Center | 1519 3rd St Se, Suite 103, Puyallup, WA 98372-3742 | 2008-05-08 |
| 1013071877 | Cascade Imaging Associates L.L.C. | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1932262904 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 27005 168th Pl Se, Suite 201, Covington, WA 98042-4902 | 2006-12-19 |
| 1164586921 | Advanced Imaging Northwest, LLC | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 1700833357 | The Doctors Clinic A Professional Corporation | Clinic/Center | 2200 Nw Myhre Rd, Silverdale, WA 98383-7681 | 2006-05-28 |
| Find all providers with the same taxonomy | ||||
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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.