NPIMap

Organization Active NPI

Advanced Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Silverdale, WA
National Provider Identifier
1003974460
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2085R0202X Issued in WA
Legal business name
ADVANCED MEDICAL IMAGING, LLC
Practice address
1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676
Phone
(360) 337-6500
Fax
(360) 337-6523
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Tina Moore
Title
Administrator
Phone
(360) 813-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 2085R0202X WA Primary

Addresses

Primary practice location

1780 NW Myhre Rd
Suite 1220
Silverdale, WA 98383-8676

Mailing address

PO Box 2629
Port Orchard, WA 98366-0898
Phone (360) 337-6500

National Provider Directory

National Provider Directory

Locations

22180 Olympic College Way NW
Ste 101
Poulsbo, WA 98370
Phone (360) 337-6500

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1003974460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2629",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983660898",
            "telephone_number": "360-337-6500",
            "fax_number": "360-337-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD",
            "address_2": "SUITE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-337-6500",
            "fax_number": "360-337-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-813-6021"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "2085R0202X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.