Active NPI
Diagnostic Services, Inc.
- Mobile Radiology Clinic/Center
- Bellevue, WA
National Provider Identifier
1609863372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- DIAGNOSTIC SERVICES, INC.
- Practice address
- 1611 116TH Ave NE Ste 207
Bellevue, WA 98004-3063 - Phone
- (425) 235-5984
- NPI assigned
- Sep 28, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ilya Vishevsky, RDMS
- Title
- President
- Phone
- (425) 235-5984
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | WA | Primary |
Addresses
Primary practice location
1611 116TH Ave NE Ste 207
Bellevue, WA 98004-3063
Mailing address
PO Box 33879
Seattle, WA 98133-0879
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7072663 | Medicaid | WA |
Other names 1
- Progressive Medical Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050415000184 | WA | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 7416994959 | Practice locations: Redmond, WA |
National Provider Directory
National Provider DirectoryLocations
1611 116th Ave NE
Ste 207
Bellevue, WA 98004
Phone (206) 947-4973
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Radiologic Technologist
- Bellevue, WA
- NPI 1063407179
-
- Diagnostic Radiology Physician
- Orlando, FL
- NPI 1497702542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206489600000",
"number": "1609863372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33879",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981330879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 116TH AVE NE STE 207",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980043063",
"telephone_number": "425-235-5984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAGNOSTIC SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-28",
"last_updated": "2008-03-26",
"status": "A",
"authorized_official_last_name": "VISHEVSKY",
"authorized_official_first_name": "ILYA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-235-5984",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RDMS"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7072663",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Progressive Medical Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.