Provider Type Icon

DIRECT IMAGING PC NPI 1689283285


NPI Information

NPI: 1689283285
Provider Name: DIRECT IMAGING PC

Other Name: DIRECT IMAGING AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 50D2191060

Address:
6101 SUMMITVIEW AVE STE 200
YAKIMA, WA
ZIP 98908
Phone: (509) 902-8857
Get Directions

DIRECT IMAGING PC is an ambulatory surgical clinic center in Yakima, WA. DIRECT IMAGING PC NPI is 1689283285. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Direct Imaging Ambulatory Surgery Center.

The provider's business location address is:

6101 SUMMITVIEW AVE STE 200
YAKIMA, WA
ZIP 98908-028
Phone: (509) 902-8857
Fax: (509) 902-8855

The provider's authorized official is Dave S Atteberry .
The authorized official title is Owner/member and has the following contact phone number (412) 759-8895.

The CLIA number assigned to this NPI record is 50D2191060 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2020 and was last updated on 3/26/2024.


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
1207T00000XNeurological SurgeryNo
2208600000XSurgeryNo
3261QA1903XClinic/CenterAmbulatory SurgicalYes
4261QR0200XClinic/CenterRadiologyNo

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
16890698OTHERWASHINGTONAETNA
2426319OTHERWASHINGTONL&I CLINIC
3G9016079OTHERWASHINGTONDI CLINIC PTAN
4G9024448OTHERWASHINGTONASC MEDICARE PTAN

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.