NPIMap

Organization Active NPI

Columbia Basin Imaging PC

  • Specialist
  • Richland, WA
National Provider Identifier
1255450680
Registry record updated Nov 1, 2012
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Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLUMBIA BASIN IMAGING PC
Practice address
953 Stevens Dr
Ste#C
Richland, WA 99352-3533
Phone
(509) 943-5616
Fax
(509) 943-9272
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dwane Brittain
Title
President
Phone
(509) 943-5616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

953 Stevens Dr
Ste#C
Richland, WA 99352-3533

Mailing address

PO Box 5230
Pasco, WA 99302-5201
Phone (509) 943-5616

Other identifiers 1

IdentifierTypeStateIssuer
7038102MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1255450680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5230",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993025201",
            "telephone_number": "509-943-5616",
            "fax_number": "509-943-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 STEVENS DR",
            "address_2": "STE#C",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523533",
            "telephone_number": "509-943-5616",
            "fax_number": "509-943-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "DWANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-943-5616"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7038102",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.