NPIMap

Organization Active NPI

Western Radiology Imaging LLC

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1144332453
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
UBI 602469354 Issued in WA
Legal business name
WESTERN RADIOLOGY IMAGING LLC
Practice address
11011 Meridian Ave N
Suite 101
Seattle, WA 98133-8967
Phone
(206) 306-1011
Fax
(206) 306-1019
NPI assigned
Aug 31, 2006
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Lori Ganal
Title
Controller
Phone
(206) 365-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X UBI 602469354 WA Primary

Addresses

Primary practice location

11011 Meridian Ave N
Suite 101
Seattle, WA 98133-8967

Mailing address

PO Box 24722
Seattle, WA 98124-0722
Phone (206) 306-1011

Other identifiers 6

IdentifierTypeStateIssuer
613160100OtherWAOWCP
206464OtherWAGROUP L&I
602469354OtherWAUBI#
7135825MedicaidWA
7028WEOtherWAREGENCE GROUP#
DF0569OtherWARR MEDI

Other names 1

  • Via Radiology - Meridian Pavilion Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1144332453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24722",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240722",
            "telephone_number": "206-306-1011",
            "fax_number": "206-306-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 MERIDIAN AVE N",
            "address_2": "SUITE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338967",
            "telephone_number": "206-306-1011",
            "fax_number": "206-306-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RADIOLOGY IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "GANAL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "206-365-4100"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "UBI 602469354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "613160100",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP L&I",
            "identifier": "206464",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI#",
            "identifier": "602469354",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7135825",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE GROUP#",
            "identifier": "7028WE",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDI",
            "identifier": "DF0569",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Radiology - Meridian Pavilion",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.