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PROLIANCE SURGEONS INC. P.S. NPI 1891364543


NPI Information

NPI: 1891364543
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PUGET SOUND IMAGING MRI

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
1724 W. UNION AVENUE
SUITE B-100
TACOMA, WA
ZIP 98405
Phone: (253) 830-5215
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PROLIANCE SURGEONS, INC., P.S. is a magnetic resonance imaging (mri) clinic center in Tacoma, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1891364543. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Puget Sound Imaging Mri.

The provider's business location address is:

1724 W. UNION AVENUE
SUITE B-100
TACOMA, WA
ZIP 98405-099
Phone: (253) 830-5215
Fax: (253) 830-5219

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 7/9/2021.


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
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
3261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes
4261QR0200XClinic/CenterRadiologyNo

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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