Organization Active NPI

Lynden Medical X-Ray LLC

  • Radiology Clinic/Center
  • Lynden, WA
National Provider Identifier
1588775662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
RT00002493 Issued in WA
Legal business name
LYNDEN MEDICAL X-RAY LLC
Practice address
9310 Hammer Rd
Lynden, WA 98264-9530
Phone
(360) 354-5419
Fax
(360) 354-5400
NPI assigned
Aug 31, 2006
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
Mrs. Deanna B Van Beek, RT
Title
Owner Technologist
Phone
(360) 360-1237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X RT00002493 WA Primary

Addresses

Primary practice location

9310 Hammer Rd
Lynden, WA 98264-9530

Mailing address

9310 Hammer Rd
Lynden, WA 98264-9530
Phone (360) 354-5419

National Provider Directory

National Provider Directory

Locations

1610 Grover St
Ste C4
Lynden, WA 98264
Phone (360) 354-1237

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": "1598054400000",
    "number": "1588775662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 HAMMER RD",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649530",
            "telephone_number": "360-354-5419",
            "fax_number": "360-354-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 HAMMER RD",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982649530",
            "telephone_number": "360-354-5419",
            "fax_number": "360-354-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDEN MEDICAL X-RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN BEEK",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER TECHNOLOGIST",
        "authorized_official_telephone_number": "360-360-1237",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WA",
            "license": "RT00002493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynden, 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.