Portable X-Ray of Washington LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

PORTABLE X-RAY OF WASHINGTON LLC

Practice address

6925 216TH St SW
Suite N
Lynnwood, WA 98036

Phone

(425) 640-2600

Fax

(425) 640-2174

NPI assigned

Jan 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carol Toomey

Title

Member

Phone

(702) 645-2606

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1922087998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5538 W DUNCAN DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89130",
            "telephone_number": "702-645-2606",
            "fax_number": "702-645-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 216TH ST SW",
            "address_2": "SUITE N",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98036",
            "telephone_number": "425-640-2600",
            "fax_number": "425-640-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTABLE X-RAY OF WASHINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "TOOMEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "702-645-2606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7112519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Daniel Ponder
• Rachel Pontemayor, D.O.
• Kimberly J Popovic, PT
• Wendi W. Poppenhagen, MPT
• Melissa A Porras-Monroe
• William James Potter
• Lyudmila Potyomkin, ARNP
• Steven S Pounds
• Aiman Pourahmari, DE 61297295
• Anna Nguyen Powell, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.