Grays Harbor Imaging LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GRAYS HARBOR IMAGING LLC

Practice address

1108 Basich Blvd
Aberdeen, WA 98520-1066

Phone

(360) 533-0400

Fax

(360) 533-5633

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John Curtiss Stanley

Title

Administrator

Phone

(360) 493-4602

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619001088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 BASICH BLVD",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201066",
            "telephone_number": "360-533-0400",
            "fax_number": "360-533-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYS HARBOR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CURTISS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-493-4602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grays Harbor ER Physicians
• Grays Harbor Fire Protection District #10
• Grays Harbor Fire Protection District 2
• Grays Harbor Float & Wellness
• Grays Harbor House Hospitalist
• Grays Harbor Pediatrics, PLLC
• Grays Harbor Surgeons
• Grays Harbor Treatment Solutions
• Grays Harbor Vision Clinic, Inc.
• Grays Harbor Womens Clinic PLLC

• All providers in Aberdeen, WA
• Specialist in Washington

• 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.