ADVANCED IMAGING NORTHWEST, LLC (NPI# 1164586921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164586921 |
| Entity Type | Organization |
| Organization Name | ADVANCED IMAGING NORTHWEST, LLC |
| Practice Address |
1415 E Kincaid St Mount Vernon WA 98274-4126 |
| Practice Telephone | 3604244111 |
| Mailing Telephone | 3604244111 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-02-12 |
| Authorized Official Name | THOMAS C. LITAKER (CFO) |
| Authorized Official Telephone | 3604242505 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7111776 | 05 |
| Street Address |
1415 E KINCAID ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750360707 | Rick A Wenning | Pharmacist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-01-10 |
| 1396367561 | Sarah Zubair | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-05-11 |
| 1538798889 | Savannah Martha Broadlick | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-07 |
| 1639708175 | Melinda Mae Mantooth | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-04-06 |
| 1699303974 | Matthew Kon | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-31 |
| 1518595412 | Rhandy Ceballos | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-28 |
| 1467089235 | Khadij Assani | Student in an Organized Health Care Education/Training Program | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2020-03-23 |
| 1689210874 | Hospitalist Medicine Physicians of California - San Leandro, PC | Internal Medicine | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-11-22 |
| 1760023170 | Jessica K. Fletcher | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-10-07 |
| 1932769007 | Kerrie Steffan | Physical Therapist | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013071877 | Cascade Imaging Associates L.L.C. | Clinic/Center | 1415 E Kincaid St, Mount Vernon, WA 98274-4126 | 2006-12-19 |
| 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 |
| 1588899173 | Dynamic Medical Diagnostic Imaging Centers, LLC | Clinic/Center | 5038 Tacoma Mall Blvd, Suite C, Tacoma, WA 98409-7103 | 2009-05-26 |
| 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 |
| 1467666701 | Objective Diagnostics & Research Ps | Clinic/Center | 4803 Center St, Tacoma, WA 98409-2319 | 2007-05-09 |
| 1932262904 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 27005 168th Pl Se, Suite 201, Covington, WA 98042-4902 | 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 | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.