GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC


Address: 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055
Phone: 3605336447

GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC (NPI# 1184950842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184950842
Entity Type Organization
Organization Name GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC
Practice Address 1020 Anderson Dr Ste 205
Aberdeen
WA 98520-1055
Practice Telephone 3605336447
Practice Fax Number 3605380807
Enumeration Date 2009-10-29
Last Update Date 2010-03-09
Authorized Official Name DR. LOREN EARNEST LAYBOURN (MEMBER)
Authorized Official Telephone 3605336447
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities

Office Location

Street Address 1020 ANDERSON DR STE 205
City ABERDEEN
State WA
Zip Code 98520-1055

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043373905 Hany G Bashandy Md Ps Internal Medicine 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 2006-12-19
1811012578 Barbara L Givens Md Ps Internal Medicine 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 2007-03-20
1285759852 Harbor Internal Medicine Pllc Internal Medicine 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 2007-03-20
1386769016 Daniel J Canfield Do Ps Internal Medicine 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 2007-03-20
1568587129 Ralph L Morris Md Ps Internal Medicine 1020 Anderson Dr Ste 205, Aberdeen, WA 98520-1055 2007-03-20

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1174032296 Amy D Tyler Peer Specialist 403 W State Street, Ste 206, Aberdeen, WA 98520 2017-09-20
1073032819 Amanda Leona Franklin Counselor 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 2017-09-13
1184141152 Chrystal Lynn Beckley Counselor 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 2017-08-29
1285158923 Josh Butler Technician/Technologist 1718 Sumner Ave, Aberdeen, WA 98520 2017-08-02
1386165553 Melvin Taylor Counselor 311 South I Street, Aberdeen, WA 98520 2017-06-28
1164870267 Kelly Knittle Counselor 4820 She-nah-num Dr. Se, Olympia, WA 98520 2016-05-31
1437570249 Aberdeen Therapy Works Occupational Therapist 100 S. I Street, Suite 205, Aberdeen, WA 98520 2013-12-20
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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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
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Competitor

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City ABERDEEN
Zip Code 98520

Improve Information

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Dataset Information

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.

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