NPIMap

Organization Active NPI

Integra Imaging, PS

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1205189461
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
INTEGRA IMAGING, PS
Practice address
801 S Stevens St
Spokane, WA 99204-2654
Phone
(509) 747-4455
Fax
(509) 363-7064
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Sarah Russell
Title
Coo
Phone
(509) 747-4455

Specialties & licenses 1

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

Addresses

Primary practice location

801 S Stevens St
Spokane, WA 99204-2654

Mailing address

PO Box 2816
Spokane, WA 99220
Phone (509) 747-4455

Other names 1

  • Inland Imaging Associates, PS Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CO, MT, OR, TX, NM, MI, CA, IL9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
O20121204000044 WA Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 151 practitioners
2 other NPIs on this enrollment
O20141003000230 CO Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 10 practitioners
Practice locations: Boulder, CO; Littleton, CO; Lakewood, CO; Denver, CO; Cordillera, CO; Aurora, CO
O20161130001365 MT Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 134 practitioners
2 other NPIs on this enrollment
Practice locations: Stevensville, MT; Seeley Lake, MT; Polson, MT; Missoula, MT; Hamilton, MT; Florence, MT; Darby, MT
O20230125000508 OR Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 25 practitioners
Practice locations: Pendleton, OR
O20231025000539 TX Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX
O20240307000220 NM Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM
O20250710003676 MI Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Orion, MI
O20251111000931 CA Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey, CA
O20251112003279 IL Part B Supplier - Clinic/Group Practice 1355593062 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, IL

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

1921 19th St
Ste B
Bakersfield, CA 93301

634 Eddy Ave
Missoula, MT 59812
Phone (406) 243-2122

2805 South Ave W
Missoula, MT 59804

1299 Bishop Rd
Chehalis, WA 98532
Phone (360) 748-0211

4800 College St SE
Ste A
Lacey, WA 98503
Phone (360) 486-2800

1110 Goethals Dr
Richland, WA 99352
Phone (509) 943-1175

1100 Goethals Dr
Ste E
Richland, WA 99352
Phone (509) 942-3095

1100 Goethals Dr
Richland, WA 99352
Phone (509) 942-3244

2101 4th Ave
Ste 600
Seattle, WA 98121

2409 N 45th St
Seattle, WA 98103
Phone (206) 633-8100

105 W 8th Ave
Ste 560
Spokane, WA 99204
Phone (509) 456-7200

1810 N Greene St
Spokane, WA 99217
Phone (509) 533-7000

105 W 8th Ave
Ste 100C
Spokane, WA 99204
Phone (509) 455-4455

105 W 8th Ave
#100C125C
Spokane, WA 99204

16528 E Desmet Ct
Ste A1300
Spokane Valley, WA 99216
Phone (509) 363-7817

16528 E Desmet Ct
Ste A
Spokane Valley, WA 99216

103 E Main St
Ste B205
Walla Walla, WA 99362

3950 Keene Rd
Fl 2
West Richland, WA 99353

Practitioners & affiliated clinicians

Practitioners 189

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

View all 189

NPI Registry JSON

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1205189461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2816",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99220",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-747-4455",
            "fax_number": "509-363-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRA IMAGING, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "509-747-4455"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inland Imaging Associates, PS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.