NPIMap

Organization Active NPI

Highline Imaging LLC

  • Diagnostic Radiology Physician
  • Burien, WA
National Provider Identifier
1164459673
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HIGHLINE IMAGING LLC
Practice address
275 W 160TH St
Burien, WA 98166
Phone
(206) 988-5774
Fax
(206) 244-3569
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Kathleen Fondren
Title
Asst to Ceo
Phone
(206) 988-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

275 W 160TH St
Burien, WA 98166

Mailing address

PO Box 94586
Seattle, WA 98124-6886
Phone (206) 988-5774

Other identifiers 1

IdentifierTypeStateIssuer
7122112MedicaidWA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

275 SW 160th St
Burien, WA 98166
Phone (206) 988-5744

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1164459673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94586",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246886",
            "telephone_number": "206-988-5774",
            "fax_number": "206-244-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W 160TH ST",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "98166",
            "telephone_number": "206-988-5774",
            "fax_number": "206-244-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLINE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "FONDREN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "ASST TO CEO",
        "authorized_official_telephone_number": "206-988-5774"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7122112",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.