NPIMap

Organization Active NPI

3-D Diagnostics, LLC

  • Medical Specialty Clinic/Center
  • Olympia, WA
National Provider Identifier
1144536079
Registry record updated Aug 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
6935 Issued in WA
Legal business name
3-D DIAGNOSTICS, LLC
Practice address
2616 Yelm Hwy SE Ste a
Olympia, WA 98501-0800
Phone
(360) 352-2400
Fax
(360) 352-6255
NPI assigned
Aug 30, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Austin R Smith
Title
Owner
Phone
(360) 352-2400

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 6935 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

2616 Yelm Hwy SE Ste a
Olympia, WA 98501-0800

Mailing address

2616 Yelm Hwy SE Ste a
Olympia, WA 98501-0800
Phone (360) 352-2400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 30, 2010.

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1144536079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 YELM HWY SE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985010800",
            "telephone_number": "360-352-2400",
            "fax_number": "360-352-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 YELM HWY SE STE A",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985010800",
            "telephone_number": "360-352-2400",
            "fax_number": "360-352-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3-D DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-352-2400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.