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
Last updated
Aug 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2010

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

Authorized official

Name
Dr. Austin R SmithNPI 1295840825
Title
Owner
Phone
(360) 352-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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.