Organization Active NPI

Tri City Radiology Inc PS

  • Diagnostic Radiology Physician
  • Kennewick, WA
National Provider Identifier
1992819866
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TRI CITY RADIOLOGY INC PS
Practice address
7221 W Deschutes Ave
Ste a
Kennewick, WA 99336-7807
Phone
(509) 374-4030
Fax
(509) 374-8690
NPI assigned
Aug 18, 2006
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Ms. Lynn K Bresnahan, PHR
Title
Administrator
Phone
(509) 374-4030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

7221 W Deschutes Ave
Ste a
Kennewick, WA 99336-7807

Mailing address

7221 W Deschutes Ave
Ste a
Kennewick, WA 99336-7807
Phone (509) 374-4030

Other identifiers 2

IdentifierTypeStateIssuer
7823107MedicaidWA
14228OtherWAL & I

National Provider Directory

National Provider Directory

Locations

807 S Auburn St
Kennewick, WA 99336
Phone (509) 586-3183

4403 W Court St
Pasco, WA 99301
Phone (509) 545-6220

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1992819866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 W DESCHUTES AVE",
            "address_2": "STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367807",
            "telephone_number": "509-374-4030",
            "fax_number": "509-374-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7221 W DESCHUTES AVE",
            "address_2": "STE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367807",
            "telephone_number": "509-374-4030",
            "fax_number": "509-374-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI CITY RADIOLOGY INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "BRESNAHAN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-374-4030",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHR"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7823107",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "14228",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.