Organization Active NPI

Olympic Radiology LLC

  • Diagnostic Radiology Physician
  • Bremerton, WA
National Provider Identifier
1295970226
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
OLYMPIC RADIOLOGY LLC
Practice address
2700 Clare Ave
Bremerton, WA 98310-3330
Phone
(360) 479-6555
Fax
(360) 479-8327
NPI assigned
Dec 4, 2008
Last updated
Dec 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Michele D Sauer
Title
Administrator
Phone
(360) 479-6555

Specialties & licenses 1

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

Addresses

Primary practice location

2700 Clare Ave
Bremerton, WA 98310-3330

Mailing address

2700 Clare Ave
Bremerton, WA 98310-3330
Phone (360) 479-6555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1295970226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CLARE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103330",
            "telephone_number": "360-479-6555",
            "fax_number": "360-479-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CLARE AVE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103330",
            "telephone_number": "360-479-6555",
            "fax_number": "360-479-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC RADIOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "SAUER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-479-6555"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.