TACOMA DIAGNOSTIC IMAGING CENTER, LLC (NPI# 1750704540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750704540 |
| Entity Type | Organization |
| Organization Name | TACOMA DIAGNOSTIC IMAGING CENTER, LLC |
| Practice Address |
6004 Westgate Blvd Suite 210 Tacoma WA 98406-2503 |
| Practice Telephone | 2537526630 |
| Practice Fax Number | 2537521173 |
| Mailing Telephone | 2537526630 |
| Mailing Fax Number | 2537521173 |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2014-01-29 |
| Authorized Official Name | MICHAEL J. GIESY (MANAGER/MEMBER) |
| Authorized Official Telephone | 2537526630 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | Laboratories |
| Street Address |
6004 WESTGATE BLVD SUITE 210 |
| City | TACOMA |
| State | WA |
| Zip Code | 98406-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740280528 | Michael James Giesy | Dentist | 6004 Westgate Blvd, Ste 210, Tacoma, WA 98406-2503 | 2005-07-22 |
| 1720437932 | Patricia Pierson | Counselor | 6004 Westgate Blvd, Suite 180, Tacoma, WA 98406-2503 | 2016-06-08 |
| 1285082081 | Shanik Brown | Physical Therapy Assistant | 6004 Westgate Blvd, Tacoma, WA 98406-2503 | 2016-06-02 |
| 1124473236 | Magdalena James | Occupational Therapist | 6004 Westgate Blvd, Tacoma, WA 98406-2503 | 2016-04-26 |
| 1124488838 | Mary Shores | Physical Therapist | 6004 Westgate Blvd, Suite 220, Tacoma, WA 98406-2503 | 2016-02-24 |
| 1457721045 | Shirley Robertosn | Physical Therapy Assistant | 6004 Westgate Blvd, Ste 22., Tacoma, WA 98406-2503 | 2015-09-25 |
| 1376922955 | Sabrina Hale | Physical Therapy Assistant | 6004 Westgate Blvd, Suite 220, Tacoma, WA 98406-2503 | 2015-05-28 |
| 1609286988 | Pamela Vogel | Physical Therapy Assistant | 6004 Westgate Blvd, Suite 220, Tacoma, WA 98406-2503 | 2014-05-07 |
| 1316369374 | Carl Etienne | Occupational Therapist | 6004 Westgate Blvd, Ste 220, Tacoma, WA 98406-2503 | 2014-01-10 |
| 1649511684 | Mary M Mayberry | Physical Therapy Assistant | 6004 Westgate Blvd, #220, Tacoma, WA 98406-2503 | 2013-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972068070 | Misty Molina, Arnp | Midwife | 6002 Westgateblvd., Ste 120, Tacoma, WA 98406 | 2019-02-04 |
| 1538641238 | Julianne Marie Silla | Behavior Technician | 4414 6th Ave., Tacoma, WA 98406 | 2018-08-30 |
| 1659851194 | Holli Fadem | Behavioral Analyst | 4414 6th Ave, Tacoma, WA 98406 | 2018-08-15 |
| 1275013682 | Josephine Lynn Daniels | Counselor | 5929 Westgate Blvd., Suite A, Tacoma, WA 98406 | 2018-08-15 |
| 1821520388 | Cayla Passmore | Home Health Aide | 7320 6th Ave, Apt 2, Tacoma, WA 98406 | 2017-04-03 |
| 1134587355 | Chelsey Babcock | Massage Therapist | 1919 N Pearl St., #a4, Tacoma, WA 98406 | 2016-02-02 |
| 1366888992 | Philip Jones / Thomas Henry, D.o.s., P.s. | Dentist | 2102 N. Pearl Street, Suite 202, Tacoma, WA 98406 | 2013-05-22 |
| 1548512866 | Suzanne R Webster | Occupational Therapy Assistant | 2301 N Mildred, Tacoma, WA 98406 | 2012-10-10 |
| 1457609943 | Erika R. Sagle | Specialist | 1807 N. Stevens St., Tacoma, WA 98406 | 2012-08-15 |
| 1457616104 | Catherine M Jones | Pharmacy Technician | 3601 6th Ave S., Tacoma, WA 98406 | 2012-07-09 |
| Find all providers in zip 98406 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316266760 | Re Anderson Dental Lab | Dental Laboratory | 1915 N Division St, Spokane, WA 99207-2253 | 2010-05-25 |
| 1447429840 | R-k Holdings Inc | Dental Laboratory | 705 Se Park Crest Ave, Suite A 130, Vancouver, WA 98683-1304 | 2008-02-29 |
| 1518406339 | Summit Dental Lab | Dental Laboratory | 1590 Woodridge Dr Se, Port Orchard, WA 98366-3818 | 2017-02-13 |
| 1558803171 | J.a. Denture Clinic LLC | Dental Laboratory | 3226 208th Pl Sw, Lynnwood, WA 98036-7884 | 2016-11-14 |
| 1780139931 | The Professional Denture Center | Dental Laboratory | 533 S Mission St, Wenatchee, WA 98801-3047 | 2016-08-17 |
| 1144653601 | Arcus Laboratory | Dental Laboratory | 5701 Ne Bothell Way, Suite 7, Kenmore, WA 98028-9400 | 2013-08-19 |
| 1053697243 | Northpointe Imaging Center, LLC | Dental Laboratory | 9425 N Nevada St Ste 100, Spokane, WA 99218-1286 | 2011-11-01 |
| 1114229721 | Sheeler Denture Clinic | Dental Laboratory | 680 W Washington St, Suite E-106, Sequim, WA 98382-3264 | 2010-12-02 |
| 1497070650 | Dentures 4 U Lab Inc | Dental Laboratory | 5219 W Clearwater Ave, Suite 3, Kennewick, WA 99336-1914 | 2010-03-31 |
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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.