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OLYMPIA NEUROLOGY PLLC NPI 1891946257


NPI Information

NPI: 1891946257
Provider Name: OLYMPIA NEUROLOGY, PLLC

Doing Business As: BRAIN & SPINE IMAGING CENTER

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

Specialization: Magnetic Resonance Imaging (MRI)

Address:
128 LILLY RD NE
SUITE 101
OLYMPIA, WA
ZIP 98506
Phone: (360) 464-6030
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OLYMPIA NEUROLOGY, PLLC is a magnetic resonance imaging (mri) clinic center in Olympia, WA. OLYMPIA NEUROLOGY, PLLC NPI is 1891946257. The provider is registered as an organization entity type.
The provider Is Doing Business As Brain & Spine Imaging Center.

The provider's business location address is:

128 LILLY RD NE
SUITE 101
OLYMPIA, WA
ZIP 98506-400
Phone: (360) 464-6030
Fax: (360) 464-6000

The provider's authorized official is Leo W Kesting .
The authorized official title is Medical Director and has the following contact phone number (360) 464-6030.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 5/7/2009.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)602098189WASHINGTONYes

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
1GAB21792MEDICARE 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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