Organization Active NPI

Tra-Minw P S

  • Radiology Clinic/Center
  • Federal Way, WA
National Provider Identifier
1184790032
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
TRA-MINW P S
Practice address
34515 9TH Ave. South
Federal Way, WA 98003
Phone
(253) 383-1099
NPI assigned
Nov 24, 2006
Last updated
Sep 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Victoria Epshteyn
Title
Director of Finance
Phone
(253) 761-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

34515 9TH Ave. South
Federal Way, WA 98003

Mailing address

PO Box 3656
Seattle, WA 98124-3656
Phone (866) 231-9211

Other names 1

  • Tacoma Radiological Associates PS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040211000326 WA Part B Supplier - Clinic/Group Practice 2163316167 Receives reassigned benefits from 147 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633

16045 1st Ave S
Burien, WA 98148
Phone (206) 965-4100

16122 8th Ave SW
Burien, WA 98166
Phone (206) 246-0790

3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241

30809 1st Ave S
Federal Way, WA 98003
Phone (253) 839-2030

12475 Totem LK Blvd NE
Kirkland, WA 98034

9725 SE 36th St
Ste 114
Mercer Island, WA 98040

3504 12th Ave NE
Olympia, WA 98506
Phone (253) 459-8009

15214 Canyon Rd E
Puyallup, WA 98375
Phone (253) 539-4200

1724 West Union Ave
Ste 100
Tacoma, WA 98405
Phone (253) 830-5200

704 Trosper Rd SW
Ste 118
Tumwater, WA 98512
Phone (360) 763-7050

Practitioners & affiliated clinicians

Practitioners 147

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.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1184790032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3656",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981243656",
            "telephone_number": "866-231-9211",
            "fax_number": "253-761-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34515 9TH AVE. SOUTH",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-383-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRA-MINW P S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "EPSHTEYN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "253-761-4200"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tacoma Radiological Associates PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.