Direct Imaging PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DIRECT IMAGING PC

Practice address

6101 Summitview Ave Ste 200
Yakima, WA 98908-3028

Phone

(509) 902-8857

Fax

(509) 902-8855

NPI assigned

Jul 29, 2020

Organization subpart

Yes

Parent organization

DIRECT IMAGING PCAs reported in NPPES

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

Authorized official

Name

Dave S Atteberry, MD

Title

Owner/Member

Phone

(412) 759-8895

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Direct Imaging Ambulatory Surgery Center Other name

Part of

Direct Imaging PC

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1689283285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 SUMMITVIEW AVE STE 200",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083028",
            "telephone_number": "509-902-8857",
            "fax_number": "509-902-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 SUMMITVIEW AVE STE 200",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989083028",
            "telephone_number": "509-902-8857",
            "fax_number": "509-902-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT IMAGING PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIRECT IMAGING PC",
        "enumeration_date": "2020-07-29",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "ATTEBERRY",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "412-759-8895",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6890698",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I CLINIC",
            "identifier": "426319",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DI CLINIC PTAN",
            "identifier": "G9016079",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC MEDICARE PTAN",
            "identifier": "G9024448",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Direct Imaging Ambulatory Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fernando G Dimacali, P.T.
• Norma Dimas
• Joseph A Dimeo, D.O.
• Sabrina Dawn Dimock, MASSAGE THERAPIST
• Tam Thuy Uyen Dinh, PHARMD
• William S. Disantis, D.D.
• Dithi a. Shetty PC
• Kenneth Birch Ditto, B.S., M.S., P.T.
• Erika Dixon, DDS
• Dolly DO, DO

• Ambulatory Surgical Clinic/Center in Yakima, WA
• Providers in Yakima, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.