Olympia Neurology, PLLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

602098189 Issued in WA

Legal business name

OLYMPIA NEUROLOGY, PLLC

Doing business as

Brain & Spine Imaging Center

Practice address

128 Lilly Rd NE
Suite 101
Olympia, WA 98506-7400

Phone

(360) 464-6030

Fax

(360) 464-6000

NPI assigned

Oct 3, 2008

Last updated

May 7, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

OLYMPIA NEUROLOGY, PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Leo W Kesting, MD

Title

Medical Director

Phone

(360) 464-6030

Specialties & licenses 1

Addresses

Other names 1

• Brain & Spine Imaging Center Doing business as

Part of

Olympia Neurology PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Olympia Neurology, PLLC

  • Specialist
  • Olympia, WA
  • NPI 1174570766
  NPPES parent name

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1891946257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310960",
            "telephone_number": "360-464-6030",
            "fax_number": "360-464-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LILLY RD NE",
            "address_2": "SUITE 101",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985067400",
            "telephone_number": "360-464-6030",
            "fax_number": "360-464-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA NEUROLOGY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLYMPIA NEUROLOGY, PLLC",
        "enumeration_date": "2008-10-03",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "KESTING",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-464-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "WA",
            "license": "602098189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brain & Spine Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Olympia Internal Medicine Assoc.,LLC
• Olympia Multi Specialty Clinic
• Olympia Multi-Specialty Clinic Ambulatory Procedures CNTR PLLC
• Olympia Mutual Aid Partners
• Olympia Neurology, PLLC
• Olympia Neuropsychology
• Olympia Obstetrics & Gynecology PLLC
• Olympia Orthopaedic Associates Physical Therapy (Olymympia Orthopaedic Associates, PLLC)
• Olympia Orthopaedic Associates PLLC (Centralia Surgery Center)
• Olympia Orthopaedic Associates, PLLC

• Magnetic Resonance Imaging (MRI) Clinic/Center in Olympia, WA
• Providers in Olympia, WA by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.