Organization Active NPI

Pacific West Diagnostic Imaging

  • Neuroradiology Physician
  • Tukwila, WA
National Provider Identifier
1336724582
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
Legal business name
PACIFIC WEST DIAGNOSTIC IMAGING
Practice address
12644 Interurban Ave South,
Tukwila, WA 98168
Phone
(425) 654-0887
Fax
(425) 209-0091
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Mrs. Betty Hsu
Title
Administrative
Phone
(425) 654-0887

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0700X Primary
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

12644 Interurban Ave South,
Tukwila, WA 98168

Mailing address

P.O Box 50187
Bellevue, WA 98015
Phone (425) 654-0887

Other names 1

  • Pacific West Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Locations

12644 Interurban Ave S
Tukwila, WA 98168
Phone (206) 895-1825

643 Strander Blvd
Tukwila, WA 98188
Phone (425) 654-0887

NPI Registry JSON

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1336724582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 50187",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98015",
            "telephone_number": "425-654-0887",
            "fax_number": "425-209-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12644 INTERURBAN AVE SOUTH,",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "98168",
            "telephone_number": "425-654-0887",
            "fax_number": "425-209-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "425-654-0887",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific West Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pacific West Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tukwila, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.