Wacn Imaging LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

WACN IMAGING LLC

Practice address

2420 S Union Ave Ste 120
Tacoma, WA 98405-1322

Phone

(866) 895-2119

NPI assigned

Jul 27, 2022

Organization subpart

No

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

Authorized official

Name

Bruce Allen Johnson

Title

Director

Phone

(303) 589-4149

Specialties & licenses 1

Addresses

Other names 2

• Professional Portable X-Ray, Inc Doing business as
• WACN LLC Other name

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Multicare Health System

  • General Acute Care Hospital
  • Puyallup, WA
  • NPI 1841231461

  Member Of

  NPD member
• Professional Portable Radiologic Services Inc

  • Physiological Laboratory
  • Columbia, MD
  • NPI 1235987850

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1972239416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053316",
            "telephone_number": "866-895-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S UNION AVE STE 120",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051322",
            "telephone_number": "866-895-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "949 Market St Ste 605",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023693",
            "country_code": "US",
            "telephone_number": "866-483-9729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WACN IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-589-4149"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Portable X-Ray, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Professional Portable X-Ray, Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WACN LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wa Pacs 2 PC
• Gemechis Ararso Wacho, MD
• Dianna Lynn Wachtel, PA-C
• Robert F Wachtel, MD
• Wacn Imaging LLC
• Aaron Waddell, PA-C
• Felecia S; Waddleton-Willis, D.O.
• Alana Mewlan Wade, MD
• Kaylea Wade
• Madison Dior Wade

• Physiological Laboratory in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physiological Laboratory in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.