DR. SPENCER TRUMAN LAKE MD NPI 1316203607

NPI Information

  • NPI: 1316203607
  • Provider Name: DR. SPENCER TRUMAN LAKE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1304 FAWCETT AVE STE 100
    TACOMA, WA
    ZIP 98402
  • Phone: (253) 761-4200

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NPI Details

DR. Spencer Truman Lake, MD is a diagnostic radiology radiology in Tacoma, WA with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Spencer Truman Lake, MD NPI is 1316203607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1304 FAWCETT AVE STE 100
TACOMA, WA
ZIP 98402
Phone: (253) 761-4200
Fax: (253) 761-4201

The NPI 1316203607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • 3d radiographic procedure (HCPCS:76376)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels and grafts of heart with contrast (HCPCS:75574)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Blood creatinine level (HCPCS:82565)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Mri scan of abdomen without contrast (HCPCS:74181)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)

The enumeration date for this NPI number is 4/11/2012 and was last updated on 10/15/2025.

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 RadiologyMD60852353WASHINGTONYes
22085R0202XRadiologyDiagnostic RadiologyMD190332OREGONNo

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
12101564MEDICAIDWASHINGTON
20391227OTHERWASHINGTONLNI-UAOM
30391226OTHERWASHINGTONLNI-TRA KING COUNTY
40391228OTHERWASHINGTONLNI-DINW
50391224OTHERWASHINGTONLNI-TRA REST OF WA

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: 11/21/2025

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