Radiology Specialists P a

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OP00001710 Issued in WA

Legal business name

RADIOLOGY SPECIALISTS P A

Practice address

4032 E Mercer Way
Mercer Island, WA 98040-3822

Phone

(253) 572-2225

Fax

(253) 572-2356

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Joseph Lee GendreauNPI 1649275926

Title

President

Phone

(425) 327-9277

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Lee Gendreau, DO

  • Body Imaging Physician
  • Marysville, WA
  • NPI 1649275926
  NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1356478499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980401633",
            "telephone_number": "425-327-9277",
            "fax_number": "206-275-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4032 E MERCER WAY",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403822",
            "telephone_number": "253-572-2225",
            "fax_number": "253-572-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOLOGY SPECIALISTS P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "GENDREAU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-327-9277"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP00001710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1120617",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Porad, M.S., L.AC
• Chelsey Faith Preston, LMP
• Qliance Medical Group of Wa
• Quality Dermatology Group (de), P.a.
• Hal Cooper Quinn, MD
• Leora Radman
• Kerry Victor Ragain, PHD
• Korissa Marie Ramage, DC
• Jan Clare Rabang Ramirez, OCCUPATIONAL THERAPY
• Jose R Ramos, MD

• Diagnostic Radiology Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Diagnostic Radiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.