Active NPI
Fastex Advanced Mobile Imaging
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Yakima, WA
National Provider Identifier
1275535247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- FASTEX ADVANCED MOBILE IMAGING
- Practice address
- 106 E E St
Yakima, WA 98901-2312 - Phone
- (509) 972-8617
- Fax
- (509) 452-8418
- NPI assigned
- Aug 10, 2005
- 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
- Pamela Stephens
- Title
- Credentialing Specialist
- Phone
- (509) 961-3849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
106 E E St
Yakima, WA 98901-2312
Mailing address
PO Box 8051
Yakima, WA 98908-0051
Phone (509) 469-1903
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7127954 | Medicaid | WA | |
| 0195224 | Other | WA | LABOR AND INDUSTRIES |
National Provider Directory
National Provider Directory- Tax ID family
- Fastex Advanced Mobile Imaging
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Yakima, WA
- NPI 1801869383
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiologic Technologist
- Yakima, WA
- NPI 1669033601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1275535247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8051",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989080051",
"telephone_number": "509-469-1903",
"fax_number": "509-469-1905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 E E ST",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989012312",
"telephone_number": "509-972-8617",
"fax_number": "509-452-8418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FASTEX ADVANCED MOBILE IMAGING",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-10",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "509-961-3849"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7127954",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0195224",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.