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DR. MICHAEL LARSON M.D. NPI 1003251836


NPI Information

NPI: 1003251836
Provider Name: DR. MICHAEL LARSON, M.D.
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: RADIA INC PS

PECOS Registration: Yes

Address:
19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036
Phone: (425) 563-1500
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DR. Michael Larson, M.D. is a vascular and interventional radiology radiology in Lynnwood, WA with 11 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Michael Larson, M.D. NPI is 1003251836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2013

The provider's business location address is:

19020 33RD AVE W STE 210
LYNNWOOD, WA
ZIP 98036-748
Phone: (425) 563-1500
Fax: (425) 563-1501

The NPI 1003251836 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2013 and was last updated on 4/27/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyDR.0061931COLORADONo
22085R0202XRadiologyDiagnostic RadiologyTL5660WYOMINGNo
32085R0202XRadiologyDiagnostic RadiologyMD61132741WASHINGTONNo
42085R0202XRadiologyDiagnostic Radiology31659NEBRASKANo
52085R0204XRadiologyVascular & Interventional RadiologyMD61132741WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.