NPIMap

Organization Active NPI

Western Radiology Associates

Doing business as Via Radiology

  • Diagnostic Radiology Physician
  • Seattle, WA
National Provider Identifier
1457463747
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
UBI 600000985 Issued in WA
Legal business name
WESTERN RADIOLOGY ASSOCIATES
Doing business as
Via Radiology
Practice address
11011 Meridian Ave N Ste 101
Seattle, WA 98133-8967
Phone
(206) 366-1011
Fax
(206) 306-1019
NPI assigned
Aug 31, 2006
Last updated
Mar 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Lori Ganal
Title
Controller
Phone
(206) 366-2513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X UBI 600000985 WA Primary

Addresses

Primary practice location

11011 Meridian Ave N Ste 101
Seattle, WA 98133-8967

Mailing address

11011 Meridian Ave N Ste 101B
Seattle, WA 98133-8967
Phone (206) 365-4100

Other practice location 1

1550 N 115th St
Seattle, WA 98133-8401
Phone (206) 368-1744

Other identifiers 4

IdentifierTypeStateIssuer
WE4663OtherWAREGENCE
379016500OtherWAOWCP GROUP
55900OtherWAGROUP PIN, L&I
7822109MedicaidWA

Other names 1

  • Via Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

10330 Meridian Ave N
Ste 130
Seattle, WA 98133
Phone (206) 668-6050

10330 Meridian Ave N
Ste 270
Seattle, WA 98133
Phone (206) 368-6360

11011 Meridian Ave N
Ste 101B
Seattle, WA 98133

1560 N 115th St
Ste 104
Seattle, WA 98133
Phone (206) 668-0111

400 N 34th St
Ste 203
Seattle, WA 98103
Phone (206) 545-9300

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1457463747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 MERIDIAN AVE N STE 101B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338967",
            "telephone_number": "206-365-4100",
            "fax_number": "206-368-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 MERIDIAN AVE N STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338967",
            "telephone_number": "206-366-1011",
            "fax_number": "206-306-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 N 115th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338401",
            "country_code": "US",
            "telephone_number": "206-368-1744",
            "fax_number": "206-368-1398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTERN RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "GANAL",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "206-366-2513"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "UBI 600000985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "WE4663",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP GROUP",
            "identifier": "379016500",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN, L&I",
            "identifier": "55900",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7822109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Via Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.