ASSURED IMAGING WOMENS WELLNESS OF WASHINGTON, LLC (NPI# 1588982060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588982060 |
Entity Type | Organization |
Organization Name | ASSURED IMAGING WOMENS WELLNESS OF WASHINGTON, LLC |
Other Organization Name | ASSURED IMAGING WOMEN'S WELLNESS |
Practice Address |
565 Andover Park W Ste 110 Tukwila WA 98188-3357 |
Mailing Address |
7717 N Hartman Ln Tucson AZ 85743-9506 |
Practice Telephone | 2064671949 |
Practice Fax Number | 2064671912 |
Mailing Telephone | 2064671949 |
Mailing Fax Number | 2064671912 |
Enumeration Date | 2010-05-10 |
Last Update Date | 2020-08-29 |
Authorized Official Name | DR. JIN KIM (CEO) |
Authorized Official Telephone | 3127748828 |
Is Organization Subpart | Y |
Parent Organization Name | ASSURED IMAGING WOMEN'S WELLNESS, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
Y | 261QR0207X |
Clinic/Center Specialization: Radiology, Mobile Mammography |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Assured Imaging Women's Wellness | Doing Business As Name - Organization |
Street Address |
565 ANDOVER PARK W STE 110 |
City | TUKWILA |
State | WA |
Zip Code | 98188-3357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
Find all providers in zip 98188 |
Taxonomy Code | 261QR0207X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Radiology, Mobile Mammography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265669451 | Providence Health & Services - Wa | Clinic/Center | 101 W 8th Ave, Women's Health Center, Spokane, WA 99204-2307 | 2009-06-16 |
Please comment or provide details below to improve the information on ASSURED IMAGING WOMENS WELLNESS OF WASHINGTON, LLC.
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.