Meridian Bone Density Specialist

Primary specialty

Bone Densitometry Radiologic TechnologistTaxonomy code 2471B0102X

License

RT00003190 Issued in WA

Legal business name

MERIDIAN BONE DENSITY SPECIALIST

Practice address

11019 Canyon Rd E
Puyallup, WA 98373-3001

Phone

(253) 536-2972

Fax

(253) 826-4558

NPI assigned

Jun 2, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Renee Quiles, RTC

Title

Radiologic Technologist - Owner

Phone

(253) 588-7911

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083652085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984970115",
            "telephone_number": "253-588-7911",
            "fax_number": "253-984-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733001",
            "telephone_number": "253-536-2972",
            "fax_number": "253-826-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN BONE DENSITY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUILES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "RADIOLOGIC TECHNOLOGIST - OWNER",
        "authorized_official_telephone_number": "253-588-7911",
        "authorized_official_credential": "RTC"
    },
    "taxonomies": [
        {
            "code": "2471B0102X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Bone Densitometry",
            "state": "WA",
            "license": "RT00003190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7108061",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candida Mendez
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• Meridian Ave Massage PLLC
• Meridian Chiropractic and Wellness Center LLC
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• Stacy Lynne Merrifield, DO
• Kristina M Merriman, DDS
• Cassandra Merritt

• Radiologic Technologist in Puyallup, WA
• Providers in Puyallup, 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 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.