Organization Active NPI

Swedish Health Services

Doing business as Swedish Imaging Clinics

  • Body Imaging Physician
  • Everett, WA
National Provider Identifier
1114356904
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
Legal business name
SWEDISH HEALTH SERVICES
Doing business as
Swedish Imaging Clinics
Practice address
13020 Meridian Ave S
Everett, WA 98208-6468
Phone
(425) 357-3960
Fax
(425) 357-3961
NPI assigned
Nov 2, 2013
Last updated
May 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Authorized official

Name
Donald Wayne Anderson Jr.
Title
Assistant Secreatry for Enrollment
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085B0100X Primary

Addresses

Primary practice location

13020 Meridian Ave S
Everett, WA 98208-6468

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other names 1

  • Swedish Imaging Clinics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040414000671 WA Part B Supplier - Clinic/Group Practice 3173433067 Receives reassigned benefits from 198 practitioners
1 other NPI on this enrollment
Practice locations: Everett, WA; Redmond, WA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
SMC Adult Hospitalist11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11711 NE 12th St
Bellevue, WA 98005
Phone (425) 454-1405

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1001 Boylston Ave
Seattle, WA 98104
Phone (206) 329-6767

801 Broadway
Ste 925
Seattle, WA 98122
Phone (206) 215-3650

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Swedish Medical Center Cherry HillSeattle, WA, CCN 500025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
May 7, 2003
May 7, 2003
Swedish Medical CenterSeattle, WA, CCN 500027 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2016
Jul 1, 2016
Swedish Medical Center Cherry HillSeattle, WA, CCN 50T025 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Jul 1, 2016
May 7, 2003
Swedish EdmondsEdmonds, WA, CCN 500026 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2012
Swedish/IssaquahIssaquah, WA, CCN 500152 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Nov 9, 2011
Nov 9, 2011
Swedish Medical Center-Ballard PsychSeattle, WA, CCN 50S027 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
May 24, 2016
May 24, 2016

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 199

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 199

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1114356904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 MERIDIAN AVE S",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086468",
            "telephone_number": "425-357-3960",
            "fax_number": "425-357-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEDISH HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swedish Imaging Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swedish Imaging Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.