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SWEDISH MEDICAL CENTER-RADIA ISSAQUAH IMAGING CENTER LLC NPI 1427001312


NPI Information

NPI: 1427001312
Provider Name: SWEDISH MEDICAL CENTER-RADIA ISSAQUAH IMAGING CENTER LLC

Doing Business As: SWEDISH RADIA

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2005 NW SAMMAMISH RD
ISSAQUAH, WA
ZIP 98027
Phone: (425) 394-0650
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SWEDISH MEDICAL CENTER-RADIA ISSAQUAH IMAGING CENTER LLC is a diagnostic radiology radiology in Issaquah, WA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SWEDISH MEDICAL CENTER-RADIA ISSAQUAH IMAGING CENTER LLC NPI is 1427001312. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Swedish Radia.

The provider's business location address is:

2005 NW SAMMAMISH RD
ISSAQUAH, WA
ZIP 98027-364
Phone: (425) 394-0650

The provider's authorized official is Kevin L Brown .
The authorized official title is Vice President and has the following contact phone number (206) 320-3665.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 12/17/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology602456019WASHINGTONYes

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
18851771MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE GROUP NUMBER
20143909OTHERWASHINGTONL&I GROUP NUMBER
37126543MEDICAIDWASHINGTON

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: 5/5/2024

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