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SPOKANE MEDICAL IMAGING INC NPI 1346382280


NPI Information

NPI: 1346382280
Provider Name: SPOKANE MEDICAL IMAGING INC

Doing Business As: MOBILE MEDICAL DIAGNOSTIC

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 50D2251771

Address:
801 W 5TH AVE STE 205
SPOKANE, WA
ZIP 99204
Phone: (509) 747-1187
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SPOKANE MEDICAL IMAGING INC is a specialist in Spokane, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPOKANE MEDICAL IMAGING INC NPI is 1346382280. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mobile Medical Diagnostic.

The provider's business location address is:

801 W 5TH AVE STE 205
SPOKANE, WA
ZIP 99204-800
Phone: (509) 747-1187
Fax: (509) 747-1180

The provider's authorized official is Tracy Bowker .
The authorized official title is Billing Clerical and has the following contact phone number (509) 789-5711.

The CLIA number assigned to this NPI record is 50D2251771 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/13/2007 and was last updated on 10/7/2008.


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
1174400000XSpecialistYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000301788MEDICARE PINWASHINGTON
27006414MEDICAIDWASHINGTON
31930050MEDICARE PINIDAHO

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

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.