David Gordon Omdal in Lynnwood - Diagnostic Radiology

David Gordon Omdal - NPI 1316973340

David Gordon Omdal is a Diagnostic Radiology in Lynnwood, Washington. David Gordon Omdal practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David Gordon Omdal is 1316973340. The last update date is 2019-06-21.

David Gordon Omdal's current location address is 19020 33rd Ave W Ste 210, Lynnwood, Washington. You can contact this provider via phone number 4255631500 and fax number 4255631374. The mailing address for David Gordon Omdal is 19020 33rd Ave W Ste 210, Lynnwood, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name David Gordon Omdal
Address 19020 33rd Ave W Ste 210, Lynnwood, Washington
Phone Number 4255631500
Fax Number 4255631374
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1316973340
Provider Enumeration Date 2006-06-23
Last Updated Date 2019-06-21

Provider Mailing Address Detail

Address 19020 33rd Ave W Ste 210
City Lynnwood
State Washington (WA)
Post Code 980364748
Phone Number 4255631500
Fax Number 4255631374

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No MD00038823
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
369844 WA L&I-SWEDISH RADIA EDMONDS
369846 WA L&I-EVERGREEN RADIA
1007604 WA --
369843 WA L&I-RADA KING CTY
8313470 WA --
369841 WA L&I-RADA REST OF WA

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FAQs about David Gordon Omdal

What is the unique 10-digit identifier code assigned to David Gordon Omdal by the Centers for Medicare & Medicaid Services?

The David Gordon Omdal has been issued the NPI (National Provider Identifier) 1316973340 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of David Gordon Omdal?

The David Gordon Omdal is situated at 19020 33Rd Ave W Ste 210, in the city of Lynnwood, state of WA, with the zip code 980364748.

What is David Gordon Omdal's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for David Gordon Omdal is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.

On what date did the David Gordon Omdal receive its 1316973340 assignment from the Centers for Medicare & Medicaid Services?

The David Gordon Omdal was assigned its 1316973340 by the Centers for Medicare & Medicaid Services on 2006-06-23.

When was the information pertaining to David Gordon Omdal most recently updated or revised?

The details related to David Gordon Omdal, including its address, specialty, and other relevant information, were last updated or revised on 2019-06-21.

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