BDC RADIOLOGY INC PS NPI 1811005861

NPI Information

  • NPI: 1811005861
  • Provider Name: BDC RADIOLOGY INC PS
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: BREAST DIAGNOSTIC CENTER
  • Address: 1268 E MAIN ST
    SUITE 1
    AUBURN, WA
    ZIP 98002
  • Phone: (253) 735-1991

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NPI Details

BDC RADIOLOGY INC PS is a clinic center in Auburn, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). BDC RADIOLOGY INC PS NPI is 1811005861. The provider is registered as an organization entity type.
The provider Is Doing Business As Breast Diagnostic Center.

The provider's business location address is:

1268 E MAIN ST
SUITE 1
AUBURN, WA
ZIP 98002-748
Phone: (253) 735-1991
Fax: (253) 735-8837

The provider's authorized official is John T Blackwelder .
The authorized official title is President and has the following contact phone number (253) 735-1991.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 7/17/2014.

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
1261Q00000XClinic/Center602300908WASHINGTONYes

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
17117252MEDICAIDWASHINGTON
2AB38776MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON

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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