Organization Active NPI

Medical Diagnostic Specialties, Inc.

  • Occupational Medicine Clinic/Center
  • Arlington, WA
National Provider Identifier
1467512293
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MEDICAL DIAGNOSTIC SPECIALTIES, INC.
Practice address
3131 Smokey Point Dr
Suite J
Arlington, WA 98223-4711
Phone
(360) 653-5960
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale N Thuline, M.D.
Title
President
Phone
(360) 653-5960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

3131 Smokey Point Dr
Suite J
Arlington, WA 98223-4711

Mailing address

3131 Smokey Point Dr
Suite J
Arlington, WA 98223-4711
Phone (360) 653-5960

Other identifiers 5

IdentifierTypeStateIssuer
0067046OtherWALABOR & IND. STANLEY
R23416OtherWABLUE CROSS - STANLEY
0067045OtherWALABOR & IND. - THULINE
1831205MedicaidWA
R12468OtherWABLUE CROSS - THULINE

National Provider Directory

National Provider Directory

Locations

3131 Smokey Point Dr
Ste J
Arlington, WA 98223
Phone (360) 653-5960

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467512293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SMOKEY POINT DR",
            "address_2": "SUITE J",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234711",
            "telephone_number": "360-653-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 SMOKEY POINT DR",
            "address_2": "SUITE J",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982234711",
            "telephone_number": "360-653-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DIAGNOSTIC SPECIALTIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THULINE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-653-5960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & IND. STANLEY",
            "identifier": "0067046",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - STANLEY",
            "identifier": "R23416",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & IND. - THULINE",
            "identifier": "0067045",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831205",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS - THULINE",
            "identifier": "R12468",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • 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.