Bellevue Medical Imaging, PLLC

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

22661 Issued in WA

Legal business name

BELLEVUE MEDICAL IMAGING, PLLC

Practice address

1400 116TH Ave NE
Bellevue, WA 98004-3816

Phone

(425) 454-1700

Fax

(425) 454-0600

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Valerie S Johansen

Title

Bookkeeper

Phone

(425) 454-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Ross P Hartling, M.D.

  • Diagnostic Radiology Physician
  • Arlington, WA
  • NPI 1316950413
  Medicare reassignment Care Compare group NPD
• Brian Coate Jacobs, MD

  • Diagnostic Radiology Physician
  • Bellevue, WA
  • NPI 1932202330
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1063606309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 727",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980090727",
            "telephone_number": "425-454-1700",
            "fax_number": "425-454-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043816",
            "telephone_number": "425-454-1700",
            "fax_number": "425-454-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE MEDICAL IMAGING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "425-454-1700"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "22661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellevue Interventional Spine Specialist PS
• Bellevue Kidney Specialists PLLC
• Bellevue Laser and Cosmetic Center PS
• Bellevue Legacy Primary Care PLLC
• Bellevue Medical Center
• Bellevue Neurology and Neuroscience PLLC
• Bellevue Neuromuscular Dentistry LLC
• Bellevue OBGYN LLC
• Bellevue Optometry Clinic PS
• Bellevue Orthopedic Physicians PLLC

• Radiologic Technologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Radiologic Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.