PROLIANCE SURGEONS INC. P.S. NPI 1164461182

NPI Information

NPI: 1164461182
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE EASTSIDE MRI

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
12911 120TH AVE NE
SUITE H-120
KIRKLAND, WA
ZIP 98034
Phone: (425) 823-4226
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PROLIANCE SURGEONS, INC., P.S. is a magnetic resonance imaging (mri) clinic center in Kirkland, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1164461182. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Eastside Mri.

The provider's business location address is:

12911 120TH AVE NE
SUITE H-120
KIRKLAND, WA
ZIP 98034-027
Phone: (425) 823-4226
Fax: (425) 823-4754

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 6/5/2006 and was last updated on 5/27/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	No
2	2085R0204X	Radiology	Vascular & Interventional Radiology	No
3	2471M1202X	Radiologic Technologist	Magnetic Resonance Imaging	No
4	261QM1200X	Clinic/Center	Magnetic Resonance Imaging (MRI)	Yes
5	261QR0200X	Clinic/Center	Radiology	No

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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