NPIMap

Organization Active NPI

South Sound Radiology Aberdeen LLC

  • Diagnostic Radiology Physician
  • Aberdeen, WA
National Provider Identifier
1194819086
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SOUTH SOUND RADIOLOGY ABERDEEN LLC
Practice address
1108 Basich Blvd
Aberdeen, WA 98520-1066
Phone
(360) 533-0400
Fax
(360) 533-5633
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Tremont Vincent Parrino, M.D.NPI 1932190154
Title
Co-President
Phone
(360) 493-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1108 Basich Blvd
Aberdeen, WA 98520-1066

Mailing address

1108 Basich Blvd
Aberdeen, WA 98520-1066
Phone (360) 533-0400

Other identifiers 1

IdentifierTypeStateIssuer
0223967OtherWALABOR & INDUSTRIES INDUSTRIAL INSURANCE GROUP #

Other names 1

  • Grays Harbor Imaging LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1194819086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SOUND RADIOLOGY ABERDEEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "PARRINO",
        "authorized_official_first_name": "TREMONT",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "360-493-4600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES INDUSTRIAL INSURANCE GROUP #",
            "identifier": "0223967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grays Harbor Imaging LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.