PROLIANCE SURGEONS INC. P.S. NPI 1255903720

NPI Information

NPI: 1255903720
Provider Name: PROLIANCE SURGEONS, INC., P.S.
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
27005 168TH PLACE SE
SUITE 201
COVINGTON, WA
ZIP 98042
Phone: (253) 630-3660
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PROLIANCE SURGEONS, INC., P.S. is a magnetic resonance imaging (mri) clinic center in Covington, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1255903720. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27005 168TH PLACE SE
SUITE 201
COVINGTON, WA
ZIP 98042-902
Phone: (253) 630-3660
Fax: (253) 631-1591

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The enumeration date for this NPI number is 7/14/2021 and was last updated on 7/14/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	No
3	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	No
4	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	Yes
5	261QR0200X	Clinic/Center	Radiology	No

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: 5/5/2024

NPI Synchronization or Removal

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