3D Imaging and Diagnosis LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

5814 Issued in WA

Legal business name

3D IMAGING AND DIAGNOSIS LLC

Practice address

5340 Corporate Center Loop SE Ste a
Lacey, WA 98503-5590

Phone

(360) 357-4578

Fax

(350) 943-4866

NPI assigned

Sep 22, 2011

Last updated

Sep 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Larry AdamsNPI 1962517557

Title

Owner

Phone

(360) 357-4578

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry Robert Adams, DMD

  • Dentist
  • Lacey, WA
  • NPI 1962517557
  Authorized official Same address or phone

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1861775249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 CORPORATE CENTER LOOP SE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035590",
            "telephone_number": "360-357-4578",
            "fax_number": "350-943-4866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 CORPORATE CENTER LOOP SE STE A",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985035590",
            "telephone_number": "360-357-4578",
            "fax_number": "350-943-4866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3D IMAGING AND DIAGNOSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-357-4578",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "WA",
            "license": "5814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Radiology Clinic/Center in Lacey, WA
• Providers in Lacey, WA by specialty
• Radiology Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; 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.