LONGVIEW RADIOLOGISTS P.S. INC. NPI 1205880713

NPI Information

  • NPI: 1205880713
  • Provider Name: LONGVIEW RADIOLOGISTS, P.S. INC.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 700 LINCOLN ST
    SUITE 100
    KELSO, WA
    ZIP 98626
  • Phone: (360) 425-5131

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NPI Details

LONGVIEW RADIOLOGISTS, P.S. INC. is a diagnostic radiology radiology in Kelso, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LONGVIEW RADIOLOGISTS, P.S. INC. NPI is 1205880713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

700 LINCOLN ST
SUITE 100
KELSO, WA
ZIP 98626-057
Phone: (360) 425-5131
Fax: (360) 425-5509

The provider's authorized official is Gina Vicars .
The authorized official title is Manager and has the following contact phone number (360) 425-5131.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 1/6/2010.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1CP7616OTHERWASHINGTONRAILROAD MEDICARE
2111948OTHEROREGONOREGON DSHS
3G000745500MEDICARE PINWASHINGTON
412841OTHERWASHINGTONLABOR & INDUSTRIES
57839301MEDICAIDWASHINGTON
660010OTHERWASHINGTONREGENCE BLUE SHIELD

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: 3/30/2025

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