Organization Active NPI

Mt. Baker Imaging LLC

  • Diagnostic Radiology Physician
  • Bellingham, WA
National Provider Identifier
1295725133
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
602490356 Issued in WA
Legal business name
MT. BAKER IMAGING LLC
Practice address
2930 Squalicum Pkwy Ste 101
Bellingham, WA 98225-1854
Phone
(360) 733-0430
Fax
(360) 594-4012
NPI assigned
Oct 23, 2005
Last updated
Sep 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Dr. Stephen Buetow, MDNPI 1386614717
Title
President and Ceo
Phone
(360) 733-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 602490356 WA Primary

Addresses

Primary practice location

2930 Squalicum Pkwy Ste 101
Bellingham, WA 98225-1854

Mailing address

PO Box 24326
Seattle, WA 98124-0326
Phone (360) 733-0430

Other practice location 1

1610 Grover St
Suite a-4
Lynden, WA 98264-1539
Phone (360) 733-0430

Other identifiers 1

IdentifierTypeStateIssuer
7128143MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050705000191 WA Part B Supplier - Clinic/Group Practice 7113963802 Receives reassigned benefits from 37 practitioners
Practice locations: Bellingham, WA; Lynden, WA
O20240125002409 AK Part B Supplier - Clinic/Group Practice 7113963802 Receives reassigned benefits from 22 practitioners
Practice locations: Ketchikan, AK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1083741Mt Baker Imaging2930 Squalicum Parkway, Ste 101, Bellingham, WA 98225Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2930 Squalicum Pkwy
Ste 101
Bellingham, WA 98225
Phone (360) 733-0890

2930 Squalicum Pkwy
Ste 200
Bellingham, WA 98225

2930 Squalicum Pkwy
Ste 203
Bellingham, WA 98225

2979 Squalicum Pkwy
Ste 203
Bellingham, WA 98225
Phone (360) 733-7670

3015 Squalicum Pkwy
Ste 201
Bellingham, WA 98225

3130 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 671-4509

4029 Northwest Ave
#103
Bellingham, WA 98226

4029 Northwest Ave
Ste 201
Bellingham, WA 98226

1610 Grover St
Ste A4
Lynden, WA 98264

Practitioners & affiliated clinicians

Practitioners 47

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 47

NPI Registry JSON

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

{
    "created_epoch": "1130025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1295725133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24326",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240326",
            "telephone_number": "360-733-0430",
            "fax_number": "360-594-4012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 SQUALICUM PKWY STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251854",
            "telephone_number": "360-733-0430",
            "fax_number": "360-594-4012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1610 Grover St",
            "address_2": "SUITE A-4",
            "address_purpose": "LOCATION",
            "city": "Lynden",
            "state": "WA",
            "postal_code": "982641539",
            "country_code": "US",
            "telephone_number": "360-733-0430",
            "fax_number": "360-733-0438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MT. BAKER IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-23",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "BUETOW",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "360-733-0430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "602490356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7128143",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.