Advanced Imaging Northwest, Llc

LBN: Advanced Imaging Northwest, Llc
Advanced Imaging Northwest, Llc is an health care organization with primary practice located at 1415 E Kincaid St , Mount Vernon WA 98274-4126. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Advanced Imaging Northwest, Llc can be contacted via phone (360) 424-4111, or through Litaker, Thomas C. via phone (360) 424-2505.

Contact Information

Primary practice address
1415 E Kincaid St Mount Vernon WA 98274-4126
Phone: (360) 424-4111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Litaker, Thomas C.
Phone: (360) 424-2505

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X Washington

Profile Details

NPI number 1164586921
LBN Legal business name Advanced Imaging Northwest, Llc
DBA Doing business as
Authorized official Litaker, Thomas C.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 12th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164586921 NPPES
Washington MEDICAID 7111776

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