EVERETT RADIA LLC NPI 1578550240

NPI Information

NPI: 1578550240
Provider Name: EVERETT RADIA LLC

Doing Business As: EVERETT RADIA

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3822 COLBY AVE
EVERETT, WA
ZIP 98201
Phone: (425) 297-6222
Get Directions

EVERETT RADIA LLC is a diagnostic radiology radiology in Everett, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. EVERETT RADIA LLC NPI is 1578550240. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Everett Radia.

The provider's business location address is:

3822 COLBY AVE
EVERETT, WA
ZIP 98201-913
Phone: (425) 297-6222
Fax: (425) 297-6250

The provider's authorized official is Ben Harmon .
The authorized official title is Ceo and has the following contact phone number (425) 297-6200.

The enumeration date for this NPI number is 9/28/2005 and was last updated on 10/25/2010.

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	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	602154866	WASHINGTON	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	154351	OTHER	WASHINGTON	GROUP LABOR & INDUSTRIES
2	8935709	OTHER	WASHINGTON	GROUP CRIME VICTIMS
3	7109416	MEDICAID	WASHINGTON
4	AB25168	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON	GROUP PROVIDER NUMBER

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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