Organization Active NPI

Dynamic Imaging Centers LLC

Doing business as Dynamic MRI Center of Tacoma

  • Radiologic Technologist
  • Tacoma, WA
National Provider Identifier
1417078338
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
License
602-642-028 Issued in WA
Legal business name
DYNAMIC IMAGING CENTERS LLC
Doing business as
Dynamic MRI Center of Tacoma
Practice address
5038 Tacoma Mall Blvd Ste C
Tacoma, WA 98409-7140
Phone
(253) 476-9900
Fax
(253) 476-0148
NPI assigned
Apr 2, 2007
Last updated
Jun 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Paul A Kim
Title
Owner
Phone
(253) 476-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X 602-642-028 WA Primary

Addresses

Primary practice location

5038 Tacoma Mall Blvd Ste C
Tacoma, WA 98409-7140

Mailing address

5038 Tacoma Mall Blvd Ste C
Tacoma, WA 98409-7140
Phone (253) 476-9900

Other names 1

  • Dynamic MRI Center of Tacoma Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1417078338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 TACOMA MALL BLVD STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097140",
            "telephone_number": "253-476-9900",
            "fax_number": "253-476-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5038 TACOMA MALL BLVD STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097140",
            "telephone_number": "253-476-9900",
            "fax_number": "253-476-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC IMAGING CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-476-9900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": "602-642-028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic MRI Center of Tacoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.