Russ Reynolds

LBN: Russ Reynolds
Russ Reynolds is an health care organization with primary practice located at 220 25Th St Ne , East Wenatchee WA 98802-4097. The organization recently has only one registered license in Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier, which is considered as the primary health care specialty. Russ Reynolds can be contacted via phone (509) 884-0602, or through Reynolds, Russ K via phone (509) 884-0602.

Contact Information

Primary practice address
220 25Th St Ne East Wenatchee WA 98802-4097
Phone: (509) 884-0602
Fax: (509) 884-0602
Website:
Map and Directions
Authorized official contact:
Name: Reynolds, Russ K Radiologic Technologist (RT)
Phone: (509) 884-0602

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X RT00003044 Washington

Profile Details

NPI number 1821268855
LBN Legal business name Russ Reynolds
DBA Doing business as
Authorized official Reynolds, Russ K Radiologic Technologist (RT)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2008
Last updated Nov 26th, 2013 - about 12 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 1821268855 NPPES
Washington MEDICAID 7015290

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