RADIA IMAGING CENTER HOLDINGS LLC (NPI# 1639653017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639653017 |
Entity Type | Organization |
Organization Name | RADIA IMAGING CENTER HOLDINGS LLC |
Practice Address |
1229 Madison St Ste 900 Seattle WA 98104-1391 |
Mailing Address |
19020 33rd Ave W Ste 210 Lynnwood WA 98036-4748 |
Practice Telephone | 2062926233 |
Practice Fax Number | 2062927764 |
Mailing Telephone | 4255631508 |
Mailing Fax Number | 4255631501 |
Enumeration Date | 2018-09-20 |
Last Update Date | 2018-09-20 |
Authorized Official Name | DR. BART P. KEOGH (PRESIDENT) |
Authorized Official Telephone | 4255631500 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | RADIA INC PS |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Seattle Radiology | Doing Business As Name - Organization |
TBD | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154942886 | Radia Imaging Center Holdings LLC | Radiology | 4816 Ne Thurston Way Ste A, Vancouver, WA 98662-6661 | 2020-05-05 |
Street Address |
1229 MADISON ST STE 900 |
City | SEATTLE |
State | WA |
Zip Code | 98104-1391 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
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Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
1447711544 | Ashkan Jonathan Ahmadian | Radiology | 1959 Ne Pacific Street Radiology Department Rr 210, Seattle, WA 98195-1019 | 2019-03-29 |
1427546597 | Kiet Van Vo | Radiology | 1959 Ne Pacific St # 357115, Seattle, WA 98195-0001 | 2018-04-24 |
1861846057 | Ethan Hua | Radiology | Radiology Department Rr 210 1959 Ne Pacific, Seattle, WA 98195-0001 | 2016-04-14 |
1437537354 | Mahmood Albahhar | Radiology | 4245 Roosevelt Way Ne Box 354755, University of Washington Medical Center, Seattle, WA 98105 | 2015-05-12 |
1336533991 | Keegan Hovis | Radiology | 1959 Ne Pacific Street Radiology Department, Seattle, WA 98195-3358 | 2015-03-22 |
1356740930 | Mazen E Zawaideh | Radiology | 588 Bell St Unit 3705, Seattle, WA 98121-1923 | 2014-08-19 |
1962821991 | Berthina B. Coleman | Radiology | 747 Broadway, Suite Ww- 739, Swedish Medical Center, General Surgery Residency Progr, Seattle, WA 98122-4307 | 2014-04-07 |
1295153120 | Peyvand Pordeli | Radiology | Department of Radiology Body Image Section, 1959 Ne Pacific Street, Box 357115, Seattle, WA 98195-7115 | 2014-03-28 |
1790102606 | Sean Timothy Jones | Radiology | University of Washington Radiology Dept Rr 210, 1959 N.e. Pacific Street, Seattle, WA 98195-0001 | 2014-03-28 |
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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.