Organization Active NPI

Columbia Basin Imaging PC

  • Diagnostic Radiology Physician
  • Monroe, WA
National Provider Identifier
1881037893
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
COLUMBIA BASIN IMAGING PC
Practice address
14701 179TH Ave SE
Monroe, WA 98272-1108
Phone
(509) 943-5616
NPI assigned
Apr 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Dwane T Brittain, MD
Title
MD
Phone
(509) 943-5616

Specialties & licenses 1

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

Addresses

Primary practice location

14701 179TH Ave SE
Monroe, WA 98272-1108

Mailing address

PO Box 5230
Pasco, WA 99302-5201

National Provider Directory

National Provider Directory

Locations

3822 Colby Ave
Everett, WA 98201
Phone (425) 259-0121

728 134th St SW
Ste 120
Everett, WA 98204
Phone (425) 741-7500

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

1959 NW Pacific St
Seattle, WA 98195
Phone (206) 598-3300

1600 E Jefferson St
Seattle, WA 98122
Phone (206) 320-3700

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": "1365465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1881037893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5230",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993025201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14701 179TH AVE SE",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721108",
            "telephone_number": "509-943-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-09",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "DWANE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "509-943-5616",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.