Advanced Imaging Northwest, LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

ADVANCED IMAGING NORTHWEST, LLC

Practice address

1415 E Kincaid St
Mount Vernon, WA 98274-4126

Phone

(360) 424-4111

NPI assigned

Dec 19, 2006

Organization subpart

No

Name

Thomas C. Litaker

Title

Cfo

Phone

(360) 424-2505

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2008.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1164586921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744126",
            "telephone_number": "360-424-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744126",
            "telephone_number": "360-424-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING NORTHWEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "LITAKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "360-424-2505"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7111776",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret M Ackerman, APN
• Matthew Moses Acosta, MD
• Joy E Adams, SLP
• Rachel Adams, CDP
• Adara Salon & Spa
• Anna Maria Agloro, MD
• Maria Guadalupe Aguado, RN
• Carlos Aguero, P.A.
• Cynthia Guadalupe Aguirre
• Ahmed and Kang PS

• All providers in Mount Vernon, WA
• Magnetic Resonance Imaging (MRI) Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.