OVERLAKE BREAST IMAGING LLC NPI 1003985060

NPI Information

NPI: 1003985060
Provider Name: OVERLAKE BREAST IMAGING LLC

Doing Business As: OVERLAKE BREAST MRI

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1135 116TH AVE NE
SUITE 255
BELLEVUE, WA
ZIP 98004
Phone: (425) 467-3754
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OVERLAKE BREAST IMAGING LLC is a radiology clinic center in Bellevue, WA. OVERLAKE BREAST IMAGING LLC NPI is 1003985060. The provider is registered as an organization entity type.
The provider Is Doing Business As Overlake Breast Mri.

The provider's business location address is:

1135 116TH AVE NE
SUITE 255
BELLEVUE, WA
ZIP 98004
Phone: (425) 467-3754
Fax: (425) 213-1336

The provider's authorized official is Mark P Jones .
The authorized official title is Co-manager and has the following contact phone number (425) 771-8161.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.

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	261QR0200X	Clinic/Center	Radiology		WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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