Physician Diagnostic Services

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PHYSICIAN DIAGNOSTIC SERVICES

Practice address

1075 Jadwin Ave
Suite 102
Richland, WA 99352-3437

Phone

(509) 946-0600

Fax

(509) 943-7909

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Brenden Manawadu

Title

Bom

Phone

(509) 946-0600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013113638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1408",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993521408",
            "telephone_number": "509-946-0600",
            "fax_number": "509-943-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 JADWIN AVE",
            "address_2": "SUITE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523437",
            "telephone_number": "509-946-0600",
            "fax_number": "509-943-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN DIAGNOSTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANAWADU",
        "authorized_official_first_name": "BRENDEN",
        "authorized_official_title_or_position": "BOM",
        "authorized_official_telephone_number": "509-946-0600"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David James Pheysey, M.D.
• Lucas N. Phi, DO
• Philip R Halvorsen, MD, PLLC
• Karen Kay Phillips, MD, MPH
• Sarah I Phillips, L.M.T.
• Physicians Immediate Care & Medical Centers, P.S.
• Jennifer Pia, CPM, LM
• Emily Susan Piatt, CCC SLP
• Michael Pieracci, PH.D.
• Deanna Pierce, MA, LMHC

• Radiology Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.