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PROLIANCE SURGEONS INC. P.S. NPI 1548832017


NPI Information

NPI: 1548832017
Provider Name: PROLIANCE SURGEONS, INC., P.S.
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
3801 5TH ST SE
SUITE 120
PUYALLUP, WA
ZIP 98374
Phone: (253) 864-4106
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PROLIANCE SURGEONS, INC., P.S. is a magnetic resonance imaging (mri) clinic center in Puyallup, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1548832017. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3801 5TH ST SE
SUITE 120
PUYALLUP, WA
ZIP 98374-103
Phone: (253) 864-4106
Fax: (253) 864-4143

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32471M1202XRadiologic TechnologistMagnetic Resonance ImagingNo
4261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes
5261QR0200XClinic/CenterRadiologyNo

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.