Jack Mark Fields in Lynnwood - Diagnostic Radiology
Jack Mark Fields - NPI 1326016379
Jack Mark Fields is a Diagnostic Radiology in Lynnwood, Washington. Jack Mark Fields practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jack Mark Fields is 1326016379. The last update date is 2019-01-24.
Jack Mark Fields'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 Jack Mark Fields is 19020 33rd Ave W Ste 210, Lynnwood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Mark Fields |
|---|---|
| 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 | 1326016379 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2019-01-24 |
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 | MD00045508 |
|
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 |
|---|---|---|---|
| 384204 | WA | LNI-RADIA | |
| 8450157 | WA | -- | |
| 207711 | WA | LNI-SOUTH SOUND RADIOLOGY | |
| 1043717 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack Mark Fields by the Centers for Medicare & Medicaid Services (CMS)?
The Jack Mark Fields has been assigned the NPI (National Provider Identifier) 1326016379. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Jack Mark Fields's physical address?
The Jack Mark Fields is physically located at 19020 33Rd Ave W Ste 210, in the city of Lynnwood, WA, with the postal code 980364748.
What is Jack Mark Fields's area of expertise and its corresponding taxonomy classification?
The Jack Mark Fields's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1326016379 to Jack Mark Fields?
The Centers for Medicare & Medicaid Services originally issued the 1326016379 to Jack Mark Fields on 2006-03-08.
As of what date were the Jack Mark Fields's details last updated?
The information pertaining to the Jack Mark Fields, including its address, specialty, and other details, was most recently updated on 2019-01-24.
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