NPIMap

Organization Active NPI

Skagit Digital Imaging LLC

  • Diagnostic Radiology Physician
  • Mount Vernon, WA
National Provider Identifier
1043328636
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SKAGIT DIGITAL IMAGING LLC
Practice address
1320 E Division
Mount Vernon, WA 98274-4196
Phone
(360) 424-6161
Fax
(360) 848-1167
NPI assigned
Aug 25, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mark S Tournie
Title
Chief Administrative Officer
Phone
(360) 428-7212

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 48

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

View all 48

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK, FL, ID, NY, NV, ND, CA8 enrollments

Medicare enrollment records 8

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040311000384 WA Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 45 practitioners
Practice locations: Anacortes, WA; Shoreline, WA; Seattle, WA; Port Townsend, WA; Port Ludlow, WA; Mount Vernon, WA; La Conner, WA; Kirkland, WA…
O20190212002801 AK Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 37 practitioners
Practice locations: Soldotna, AK; Fairbanks, AK
O20240829000569 FL Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Pierce, FL; Sarasota, FL
O20240904002996 ID Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 1 practitioner
Practice locations: Lewiston, ID
O20250204000055 NY Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY; South Setauket, NY
O20250210003190 NV Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 3 practitioners
Practice locations: Henderson, NV; Las Vegas, NV
O20250730001109 ND Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 1 practitioner
Practice locations: Mandan, ND
O20251105003088 CA Part B Supplier - Clinic/Group Practice 4486543204 Receives reassigned benefits from 1 practitioner
Practice locations: Irvine, CA; Mountain View, CA

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

1320 E Division
Mount Vernon, WA 98274-4196

Mailing address

1320 E Division
Mount Vernon, WA 98274-4196
Phone (360) 424-6161

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
12945OtherWANONE
7016124MedicaidWA

Other names 1

NPPES NPI Registry
  • Women's Imaging Center Doing business as

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL https://www.skagitregionalhealth.org/for-patients/mychart Skagit Valley Hospital

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 27, 2023.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1043328636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 E DIVISION",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744196",
            "telephone_number": "360-424-6161",
            "fax_number": "360-848-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 E DIVISION",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744196",
            "telephone_number": "360-424-6161",
            "fax_number": "360-848-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKAGIT DIGITAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "TOURNIE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "360-428-7212"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "12945",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7016124",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.skagitregionalhealth.org/for-patients/mychart",
            "affiliation": "Y",
            "endpointDescription": "MyChart Patient Portal",
            "affiliationName": "Skagit Valley Hospital",
            "address_1": "1415 East Kincaid",
            "city": "Mount Vernon",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982741376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Women's Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.