Medical Imaging Northwest, LLP

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MEDICAL IMAGING NORTHWEST, LLP

Practice address

21110 Sr 410 E
Suite 110
Bonney Lake, WA 98391-8457

Phone

(253) 841-4353

Fax

(253) 583-8630

NPI assigned

May 31, 2007

Last updated

Dec 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katherine Choi Chinn, MD

Title

Chairman Executive Committee

Phone

(253) 841-4353

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1356542641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PACIFIC AVE",
            "address_2": "SUITE 400",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024301",
            "telephone_number": "253-841-4353",
            "fax_number": "253-583-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 SR 410 E",
            "address_2": "SUITE 110",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918457",
            "telephone_number": "253-841-4353",
            "fax_number": "253-583-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING NORTHWEST, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "CHOI",
        "authorized_official_title_or_position": "CHAIRMAN EXECUTIVE COMMITTEE",
        "authorized_official_telephone_number": "253-841-4353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7817505",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica McNeal
• Errol Justin Medel, D.C.
• Lisa Craigs Medel, D.C.
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
• Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
• Zoia Medvedeva
• Margaret Elizabeth Metzger, P.T.
• Ryan Douglas Miles, LMHC
• Marcie J Miller, LMP
• Cristina Miramontes

• Diagnostic Radiology Physician in Bonney Lake, WA
• Providers in Bonney Lake, 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 Dec 18, 2014; 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.