Active NPI
Mt. Baker Imaging LLC
- Diagnostic Radiology Physician
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 602490356
- 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, 2026
- 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
- Dr. Stephen Buetow, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7128143 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, AK
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1083741 | Mt Baker Imaging | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Diagnostic Radiology Physician
- Bellingham, WA
- NPI 1013907955
Member Of
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.
-
- Cardiovascular Disease Physician
- Bellingham, WA
- NPI 1598110678
-
- Cardiovascular Disease Physician
- Bellingham, WA
- NPI 1336197334
-
- Cardiovascular Disease Physician
- Sedro Woolley, WA
- NPI 1043732415
-
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1174687628
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.