NPIMap

Organization Active NPI

Distinctive Imaging, LLC

  • Specialist
  • Graham, WA
National Provider Identifier
1326323163
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
603148564 Issued in WA
Legal business name
DISTINCTIVE IMAGING, LLC
Practice address
21806 103Rd Avenue CT E
Suite 201
Graham, WA 98338-8115
Phone
(253) 847-4388
Fax
(253) 847-9492
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Lawrence LadowskiNPI 1073582078
Title
Owner
Phone
(253) 847-4388

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
Specialist 174400000X 603148564 WA Primary

Addresses

Primary practice location

21806 103Rd Avenue CT E
Suite 201
Graham, WA 98338-8115

Mailing address

21806 103Rd Avenue CT E
Suite 201
Graham, WA 98338-8115
Phone (253) 847-4388

National Provider Directory

National Provider Directory

Locations

21806 103rd Avenue Ct E
Ste 201
Graham, WA 98338
Phone (253) 847-4388

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1326323163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E",
            "address_2": "SUITE 201",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-847-4388",
            "fax_number": "253-847-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21806 103RD AVENUE CT E",
            "address_2": "SUITE 201",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388115",
            "telephone_number": "253-847-4388",
            "fax_number": "253-847-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINCTIVE IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "LADOWSKI",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-847-4388"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "603148564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.