Organization Active NPI

Spokane Imaging LLC

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1679511240
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
SPOKANE IMAGING LLC
Practice address
220 E Rowan Ave
Suite 170
Spokane, WA 99207-1202
Phone
(509) 482-4300
Fax
(509) 482-4301
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Scott B Halliday
Title
President of the Member
Phone
(425) 637-3378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

220 E Rowan Ave
Suite 170
Spokane, WA 99207-1202

Mailing address

PO Box 94217
Seattle, WA 98124-6517
Phone (509) 747-5191

Other identifiers 1

IdentifierTypeStateIssuer
8438061MedicaidWA

National Provider Directory

National Provider Directory

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1679511240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94217",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246517",
            "telephone_number": "509-747-5191",
            "fax_number": "509-473-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE",
            "address_2": "SUITE 170",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071202",
            "telephone_number": "509-482-4300",
            "fax_number": "509-482-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF THE MEMBER",
        "authorized_official_telephone_number": "425-637-3378"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8438061",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.