Active NPI
Longview Radiologists, P.S. Inc.
- Diagnostic Radiology Physician
- Kelso, WA
National Provider Identifier
1205880713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- LONGVIEW RADIOLOGISTS, P.S. INC.
- Practice address
- 700 Lincoln St
Suite 100
Kelso, WA 98626-1057 - Phone
- (360) 425-5131
- Fax
- (360) 425-5509
- NPI assigned
- May 20, 2006
- 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
- Gina Vicars
- Title
- Manager
- Phone
- (360) 425-5131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
700 Lincoln St
Suite 100
Kelso, WA 98626-1057
Mailing address
700 Lincoln St
Suite 100
Kelso, WA 98626-1057
Phone (360) 425-5131
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7839301 | Medicaid | WA | |
| CP7616 | Other | WA | RAILROAD MEDICARE |
| 12841 | Other | WA | LABOR & INDUSTRIES |
| 111948 | Other | OR | OREGON DSHS |
| 60010 | Other | WA | REGENCE BLUE SHIELD |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1205880713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 LINCOLN ST",
"address_2": "SUITE 100",
"city": "KELSO",
"state": "WA",
"postal_code": "986261057",
"telephone_number": "360-425-5131",
"fax_number": "360-425-5509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 LINCOLN ST",
"address_2": "SUITE 100",
"city": "KELSO",
"state": "WA",
"postal_code": "986261057",
"telephone_number": "360-425-5131",
"fax_number": "360-425-5509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONGVIEW RADIOLOGISTS, P.S. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "VICARS",
"authorized_official_first_name": "GINA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-425-5131"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7839301",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP7616",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "12841",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON DSHS",
"identifier": "111948",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "60010",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.