Overlake Imaging Associates Pc
LBN: Overlake Imaging Associates Pc
Overlake Imaging Associates Pc is an health care organization with primary practice located at 1417 116Th Ave Ne Ste 212 , Bellevue WA 98004-3821. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is the primary health care specialty.
Overlake Imaging Associates Pc can be contacted via phone (425) 502-8362, or through Pfleger, Mark J via phone (425) 502-8362.
Contact Information
Primary practice address
1417 116Th Ave Ne Ste 212
Bellevue WA 98004-3821
Phone: (425) 502-8362
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Washington | |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | Washington |
Profile Details
| NPI number | 1902870827 |
|---|---|
| LBN Legal business name | Overlake Imaging Associates Pc |
| DBA Doing business as | |
| Authorized official | Pfleger, Mark J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Mar 6th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902870827 | NPPES |
| Washington | Other | 109450 | L&I |
| Washington | Other | CD3333 | L&I |
| Washington | MEDICAID | 7078454 | L&I |
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