Organization Active NPI

Olympia Imaging Center

  • Radiology Clinic/Center
  • Olympia, WA
National Provider Identifier
1548474075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
602643 Issued in WA
Legal business name
OLYMPIA IMAGING CENTER
Practice address
3425 Ensign Rd NE
Ste320
Olympia, WA 98506-5425
Phone
(360) 491-1494
NPI assigned
May 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Rodger A Lawton, D.M.D.
Title
Partner
Phone
(360) 491-1494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 602643 WA Primary

Addresses

Primary practice location

3425 Ensign Rd NE
Ste320
Olympia, WA 98506-5425

Mailing address

3425 Ensign Rd NE
Ste320
Olympia, WA 98506-5425
Phone (360) 491-1494

Other identifiers 1

IdentifierTypeStateIssuer
07-00029280OtherWACITY LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548474075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE",
            "address_2": "STE320",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065425",
            "telephone_number": "360-491-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE",
            "address_2": "STE320",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065425",
            "telephone_number": "360-491-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAWTON",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "360-491-1494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WA",
            "license": "602643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY LICENSE",
            "identifier": "07-00029280",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, 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.