Everett MRI & Diagnostic Center LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

EVERETT MRI & DIAGNOSTIC CENTER LLC

Practice address

3331 Broadway
Everett, WA 98201-4424

Phone

(425) 259-7900

Fax

(425) 252-0993

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Keyvan Yousefian, BS

Title

Ceo

Phone

(425) 259-7900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Federal Way MRI & Diagnostic Center Doing business as

Locations

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447378583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014424",
            "telephone_number": "425-259-7900",
            "fax_number": "425-252-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 BROADWAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014424",
            "telephone_number": "425-259-7900",
            "fax_number": "425-252-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERETT MRI & DIAGNOSTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUSEFIAN",
        "authorized_official_first_name": "KEYVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-259-7900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7091754",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Way MRI & Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Everett Optometry Clinic, PLLC
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• Everett Psychiatry Associates
• Everett Public Schools

• Radiology Clinic/Center in Everett, WA
• Providers in Everett, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.