Active NPI
Mid-Columbia Ultrasound LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Kennewick, WA
National Provider Identifier
1063296275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- MID-COLUMBIA ULTRASOUND LLC
- Practice address
- 5703 W 8TH Ave
Kennewick, WA 99336-9390 - Phone
- (509) 870-0564
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 21, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelsay Morton-Garcia
- Title
- Ceo
- Phone
- (509) 870-0564
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | |||
| Mobile Radiology Clinic/Center | 261QR0208X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
5703 W 8TH Ave
Kennewick, WA 99336-9390
Mailing address
5703 W 8TH Ave
Kennewick, WA 99336-9390
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692576000000",
"number": "1063296275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5703 W 8TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993369390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5703 W 8TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993369390",
"telephone_number": "509-870-0564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-COLUMBIA ULTRASOUND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A",
"authorized_official_last_name": "MORTON-GARCIA",
"authorized_official_first_name": "CHELSAY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "509-870-0564"
},
"taxonomies": [
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
},
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.