Puyallup Radiological Assocs, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PUYALLUP RADIOLOGICAL ASSOCS, INC.

Practice address

800 S Meridian
Suite B
Puyallup, WA 98371-6995

Phone

(253) 845-9511

Fax

(253) 840-3513

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Coty A McReynolds

Title

Bookkeeper

Phone

(253) 845-9511

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward J Knoll, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Puyallup, WA
  • NPI 1033118054
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821097429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S MERIDIAN",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716995",
            "telephone_number": "253-845-9511",
            "fax_number": "253-840-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S MERIDIAN",
            "address_2": "SUITE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716995",
            "telephone_number": "253-845-9511",
            "fax_number": "253-840-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUYALLUP RADIOLOGICAL ASSOCS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCREYNOLDS",
        "authorized_official_first_name": "COTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "253-845-9511"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT LABOR & INDUSTRIES",
            "identifier": "0040900",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7860307",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puyallup Imaging Consultants LLC
• Puyallup Open Imaging LLC
• Puyallup Park Dental
• Puyallup Pediatric Dentistry
• Puyallup Psychotherapeutic Alliance
• Puyallup Regenerative Medicine, PLLC
• Puyallup School District
• Puyallup Spine and Injury Center
• Puyallup Valley Pediatric Associates, P.S.
• Puyallup Valley Physical Therapy, Inc. P. S.

• Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Clinic/Center 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.