Organization Active NPI

Inhealth Imaging, LLC

  • Radiologic Technologist
  • Poulsbo, WA
National Provider Identifier
1215990924
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
MD00025231 Issued in WA
Legal business name
INHEALTH IMAGING, LLC
Practice address
20700 Bond Rd NE
BLDG B
Poulsbo, WA 98370-9099
Phone
(360) 598-3141
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Dr. Manfred Henne, MD
Title
Owner/Member
Phone
(360) 598-3141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 247100000X MD00025231 WA Primary

Addresses

Primary practice location

20700 Bond Rd NE
BLDG B
Poulsbo, WA 98370-9099

Mailing address

PO Box 1399
Poulsbo, WA 98370-0139
Phone (360) 598-3141

Other identifiers 1

IdentifierTypeStateIssuer
7114325MedicaidWA

National Provider Directory

National Provider Directory

Locations

20700 Bond Rd NE
Bldg B
Poulsbo, WA 98370
Phone (206) 451-4308

Practitioners & affiliated clinicians

Practitioners 4

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": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1215990924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1399",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983700139",
            "telephone_number": "360-598-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20700 BOND RD NE",
            "address_2": "BLDG B",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983709099",
            "telephone_number": "360-598-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INHEALTH IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "HENNE",
        "authorized_official_first_name": "MANFRED",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "360-598-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "MD00025231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7114325",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.