Belladonna Breast Imaging Center PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

MD00021389 Issued in WA

Legal business name

BELLADONNA BREAST IMAGING CENTER PLLC

Practice address

1810 116TH Ave NE
Ste 101
Bellevue, WA 98004-3058

Phone

(888) 846-5527

Fax

(607) 324-7615

NPI assigned

Nov 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Marita B Acheson, MD

Title

Member

Phone

(888) 846-5527

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1258243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1033446802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84064",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248464",
            "telephone_number": "888-846-5527",
            "fax_number": "607-324-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 116TH AVE NE",
            "address_2": "STE 101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043058",
            "telephone_number": "888-846-5527",
            "fax_number": "607-324-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLADONNA BREAST IMAGING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-15",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "ACHESON",
        "authorized_official_first_name": "MARITA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "888-846-5527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00021389",
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "WA",
            "license": "MD00021389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.