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DYNAMIC IMAGING CENTERS LLC NPI 1417078338


NPI Information

NPI: 1417078338
Provider Name: DYNAMIC IMAGING CENTERS LLC

Doing Business As: DYNAMIC MRI CENTER OF TACOMA

Classification: Radiologic Technologist - 247100000X
Entity Type: Organization
Address:
5038 TACOMA MALL BLVD STE C
TACOMA, WA
ZIP 98409
Phone: (253) 476-9900
Get Directions

DYNAMIC IMAGING CENTERS LLC is a radiologic technologist in Tacoma, WA. The provider is a medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation. DYNAMIC IMAGING CENTERS LLC NPI is 1417078338. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dynamic Mri Center Of Tacoma.

The provider's business location address is:

5038 TACOMA MALL BLVD STE C
TACOMA, WA
ZIP 98409-140
Phone: (253) 476-9900
Fax: (253) 476-0148

The provider's authorized official is Paul A Kim .
The authorized official title is Owner and has the following contact phone number (253) 476-9900.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 6/11/2008.


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
1247100000XRadiologic Technologist602-642-028WASHINGTONYes

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
18867684MEDICARE PINWASHINGTON

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

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