MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE (NPI# 1760636930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760636930 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE |
| Practice Address |
21110 Sr 410 E #110 Bonney Lake WA 98391-8457 |
| Mailing Address |
1304 Fawcett Ave Ste 100 Tacoma WA 98402-1900 |
| Practice Telephone | 2538414353 |
| Practice Fax Number | 2535838630 |
| Mailing Telephone | 2537614200 |
| Mailing Fax Number | 2535838630 |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2018-12-14 |
| Authorized Official Name | DR. DOUGLAS P SEILER (PRESIDENT) |
| Authorized Official Telephone | 2537614200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
602760002 | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Diagnostic Imaging Northwest | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336419514 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 1450 5th St Se, #4600, Puyallup, WA 98372-4602 | 2012-01-05 |
| 1699063354 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6535 | 2011-07-15 |
| 1215181482 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 11212 Sunrise Blvd E, #200, Puyallup, WA 98374-8847 | 2008-11-13 |
| 1083802946 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-10-04 |
| Street Address |
21110 SR 410 E #110 |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-8457 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699063354 | Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Clinic/Center | 10004 204th Ave E, Suite 2600, Bonney Lake, WA 98391-6535 | 2011-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431752 | Bows-r-bowties | Clinic/Center | 646 Strander Blvd, Tukwila, WA 98188-2923 | 2016-12-12 |
| 1861775249 | 3d Imaging and Diagnosis LLC | Clinic/Center | 5340 Corporate Center Loop Se Ste A, Lacey, WA 98503-5590 | 2011-09-22 |
| 1073773198 | Providence Everett Medical Center | Clinic/Center | 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 | 2008-06-12 |
| 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 |
| 1588775662 | Lynden Medical X-ray LLC | Clinic/Center | 9310 Hammer Rd, Lynden, WA 98264-9530 | 2006-08-31 |
| 1093750614 | Valley Imaging | Clinic/Center | 314 S 11th Ave, Ste B, Yakima, WA 98902-3214 | 2006-06-18 |
| Find all providers with the same taxonomy | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
Please comment or provide details below to improve the information on MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE.
| 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.