NPIMap

Organization Active NPI

Vantage Radiology & Diagnostic Services, a Professional Services Corp

  • Diagnostic Radiology Physician
  • Renton, WA
National Provider Identifier
1245230598
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
VANTAGE RADIOLOGY & DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES CORP
Practice address
400 S 43Rd St
Renton, WA 98055
Phone
(425) 251-5183
NPI assigned
Jul 28, 2005
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Beth L. Williams
Title
Executive Director
Phone
(253) 661-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X WA Primary

Addresses

Primary practice location

400 S 43Rd St
Renton, WA 98055

Mailing address

PO Box 26730
Federal Way, WA 98093-3730
Phone (253) 661-1700

Other identifiers 1

IdentifierTypeStateIssuer
G000159700OtherWAMEDICARE PROVIDER #

Other names 1

  • VALLEY MEDICAL CENTER Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, IN, SC, MA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031231000620 WA Part B Supplier - Clinic/Group Practice 8224937917 Receives reassigned benefits from 52 practitioners
Practice locations: Sammamish, WA; Renton, WA; Seattle, WA; Bellevue, WA; Tacoma, WA; Mercer Island, WA; New Castle, WA; Auburn, WA…
O20220414001464 IN Part B Supplier - Clinic/Group Practice 8224937917 Receives reassigned benefits from 1 practitioner
Practice locations: Indianapolis, IN
O20230605003302 SC Part B Supplier - Clinic/Group Practice 8224937917 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwood, SC
O20251016001226 MA Part B Supplier - Clinic/Group Practice 8224937917 Receives reassigned benefits from 1 practitioner
Practice locations: Boston, MA

National Provider Directory

National Provider Directory

Locations

1041 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-2272

533 S 336th St
Ste C
Federal Way, WA 98003
Phone (253) 661-4755

26458 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038
Phone (425) 656-5577

10555 SE Carr Rd
Renton, WA 98055
Phone (425) 255-2273

451 Duvall Ave NE
Ste 120
Renton, WA 98059
Phone (425) 656-4100

Practitioners & affiliated clinicians

Practitioners 75

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 75

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1245230598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26730",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980933730",
            "telephone_number": "253-661-1700",
            "fax_number": "253-661-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 43RD ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98055",
            "telephone_number": "425-251-5183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE RADIOLOGY & DIAGNOSTIC SERVICES, A PROFESSIONAL SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "253-661-1700"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "G000159700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY MEDICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "VALLEY MEDICAL CENTER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.