ADVANCED OPEN IMAGING LLC (NPI# 1790822070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790822070 |
Entity Type | Organization |
Organization Name | ADVANCED OPEN IMAGING LLC |
Practice Address |
19401 40th Ave West Suite 140 Lynnwood WA 98036 |
Practice Telephone | 4257718161 |
Practice Fax Number | 4257717929 |
Mailing Telephone | 4257718161 |
Mailing Fax Number | 4257717929 |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. MARK PARKER JONES (CO-MANAGER) |
Authorized Official Telephone | 4257718161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
WA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 7118284 | 05 | |
WA | L&I | 0170315 | 01 |
WA | CRIME VICTIM | 89349911 | 01 |
WA | RR MEDICARE | DA9346 | 01 |
Street Address |
19401 40TH AVE WEST SUITE 140 |
City | LYNNWOOD |
State | WA |
Zip Code | 98036 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
Find all providers in zip 98036 |
Taxonomy Code | 261QR0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology |
Definition to come... |
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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 |
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 |
1053926444 | Affiliated Radiology, LLC | Clinic/Center | 34515 9th Ave S, Federal Way, WA 98003-6761 | 2020-09-11 |
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.