PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC NPI 1013920644

NPI Information

NPI: 1013920644
Provider Name: PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 50D2056474

Address:
1221 MADISON ST
STE 150
SEATTLE, WA
ZIP 98104
Phone: (206) 215-6433
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PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC is a diagnostic radiology radiology in Seattle, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC NPI is 1013920644. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1221 MADISON ST
STE 150
SEATTLE, WA
ZIP 98104
Phone: (206) 215-6433
Fax: (206) 215-3066

The provider's authorized official is David R Haseley .
The authorized official title is President and has the following contact phone number (206) 215-6433.

The CLIA number assigned to this NPI record is 50D2056474 - other - imaging center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/30/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085N0904X	Radiology	Nuclear Radiology	No
2	2085R0001X	Radiology	Radiation Oncology	No
3	2085R0202X	Radiology	Diagnostic Radiology	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7128960	MEDICAID	WASHINGTON
2	0200652	OTHER	WASHINGTON	GROUP L&I

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: 4/28/2024

NPI Synchronization or Removal

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