Organization Active NPI

K and a Diagnostic Center

  • General Practice Physician
  • Tacoma, WA
National Provider Identifier
1194050773
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
K AND A DIAGNOSTIC CENTER
Practice address
1206 South Proctor St
Tacoma, WA 98405
Phone
(253) 444-5333
NPI assigned
Oct 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Ksenia Mikhaylovna Arutyunyan
Title
Owner
Phone
(253) 444-5333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1206 South Proctor St
Tacoma, WA 98405

Mailing address

1206 South Proctor St
Tacoma, WA 98405

National Provider Directory

National Provider Directory

Locations

1206 S Proctor St
Tacoma, WA 98405
Phone (253) 444-5333

Practitioners & affiliated clinicians

Practitioners 1

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": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1194050773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 SOUTH PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 SOUTH PROCTOR ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-444-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K AND A DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "ARUTYUNYAN",
        "authorized_official_first_name": "KSENIA",
        "authorized_official_middle_name": "MIKHAYLOVNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-444-5333"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.