Evergreen Radia Llc in Kirkland - Diagnostic Radiology
Evergreen Radia Llc - NPI 1922095694
Evergreen Radia Llc is a Diagnostic Radiology in Kirkland, Washington. Evergreen Radia Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Evergreen Radia Llc is 1922095694. The last update date is 2018-09-12.
Evergreen Radia Llc's current location address is 11521 Ne 128th St, Kirkland, Washington. You can contact this provider via phone number 4259526100 and fax number 4259526150. The mailing address for Evergreen Radia Llc is 11521 Ne 128th St, Kirkland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Radia Llc |
|---|---|
| Address | 11521 Ne 128th St, Kirkland, Washington |
| Phone Number | 4259526100 |
| Fax Number | 4259526150 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stambaugh Lloyd |
| Credentials | MD |
| Telephone Number | 4255631500 |
NPI Number Detail
| NPI Number | 1922095694 |
|---|---|
| Provider Enumeration Date | 2005-09-28 |
| Last Updated Date | 2018-09-12 |
Provider Mailing Address Detail
| Address | 11521 Ne 128th St |
|---|---|
| City | Kirkland |
| State | Washington (WA) |
| Post Code | 980344317 |
| Phone Number | 4259526100 |
| Fax Number | 4259526150 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 602317167 |
|
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 |
|---|---|---|---|
| 7118227 | WA | -- | |
| 175238 | WA | GROUP LABOR & INDUSTRIES | |
| 8933574 | WA | GROUP CRIME VICTIMS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Evergreen Radia Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Radia Llc has been assigned the NPI (National Provider Identifier) 1922095694 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evergreen Radia Llc?
The Evergreen Radia Llc is situated at 11521 Ne 128Th St, in the city of Kirkland, state of WA, with the zip code 980344317.
What is Evergreen Radia Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evergreen Radia Llc is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.
When did the Evergreen Radia Llc receive its 1922095694?
The Evergreen Radia Llc was issued its 1922095694 on 2005-09-28, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Evergreen Radia Llc most recently updated or revised?
The details related to Evergreen Radia Llc, including its address, specialty, and other relevant information, were last updated or revised on 2018-09-12.
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