Active NPI
Pacific West Diagnostic Imaging
- Neuroradiology Physician
- Tukwila, WA
National Provider Identifier
1336724582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.