Organization Active NPI

Radiographic Digitization

  • Clinical Medical Laboratory
  • Pasco, WA
National Provider Identifier
1003099805
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CH00002378 Issued in WA
Legal business name
RADIOGRAPHIC DIGITIZATION
Practice address
209 N 3Rd Ave
Pasco, WA 99301-5315
Phone
(509) 546-4843
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. George A Fraga, DC
Title
President
Phone
(509) 546-4843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CH00002378 WA Primary

Addresses

Primary practice location

209 N 3Rd Ave
Pasco, WA 99301-5315

Mailing address

209 N 3Rd Ave
Pasco, WA 99301-5315
Phone (509) 546-4843

National Provider Directory

National Provider Directory

Locations

209 N 3rd Ave
Pasco, WA 99301
Phone (509) 546-4843

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1003099805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N 3RD AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015315",
            "telephone_number": "509-546-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N 3RD AVE",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993015315",
            "telephone_number": "509-546-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOGRAPHIC DIGITIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-546-4843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "WA",
            "license": "CH00002378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.