Grays Harbor Cardiovascular Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC

Practice address

1020 Anderson Dr Ste 205
Aberdeen, WA 98520-1055

Phone

(360) 533-6447

Fax

(360) 538-0807

NPI assigned

Oct 29, 2009

Last updated

Mar 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Loren Earnest Laybourn, M.D.NPI 1548393424

Title

Member

Phone

(360) 533-6447

Specialties & licenses 1

Addresses

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.

• Loren Earnest Laybourn, MD

  • Diagnostic Radiology Physician
  • Aberdeen, WA
  • NPI 1548393424
  NPD (past) Authorized official

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1184950842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR STE 205",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR STE 205",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6447",
            "fax_number": "360-538-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "LAYBOURN",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "EARNEST",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-533-6447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Yvette Gomery
• Rachelle Joi Good
• Craig Phillip Goodface
• Brian Earl Goody, PA
• Brenda K Grant, M.D.
• Grays Harbor College
• Grays Harbor Community Hospital (Grays Harbor Radiology)
• Grays Harbor Community Hospital
• Grays Harbor Community Hospital
• Grays Harbor Community Hospital (GHCH Aberdeen East Clinic)

• Radiology Clinic/Center in Aberdeen, WA
• Providers in Aberdeen, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.