Active NPI
K and a Diagnostic Center
- General Practice Physician
- Tacoma, WA
National Provider Identifier
1194050773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Liberty Lake, WA
- NPI 1689622755
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.