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#Evergreen radia kirkland registration
#Evergreen radia kirkland code
#Evergreen radia kirkland License number

Subparts are the components and separate physical locations of organization health care providers.

2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

1 = Person: individual human being who furnishes health care.

#Evergreen radia kirkland code

The entity type code describes the type of health care provider that is being assigned an NPI. This address may contain the same information as the provider location address.Įvergreen Radia is registered as an entity type code: 2. The mailing address of the provider being identified. This address cannot include a Post Office box. For providers with more than one physical location, this is the primary location. The location address of the provider being identified. The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

What is the National Provider Indentifier (NPI)? KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2 Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria. CLIA defines waived tests as simple tests with a low risk for an incorrect result. This CLIA certificate is issued to Evergreen Radia to perform only waived tests. The CLIA number of Evergreen Radia is 50D1099043 registered as a "other practitioner" facility with a CLIA Certificate of Waiver. The authorized official of this NPI record is Lloyd Stambaugh Md (President) The provider's is doing business as Evergreen Radia. Evergreen Radia (evergreen Radia Llc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider is registered as an organization and their NPI record was last updated 4 years ago.

#Evergreen radia kirkland License number

The practitioner's primary taxonomy code is 2085R0202X with license number 602317167 (WA). The NPI number of Evergreen Radia (evergreen Radia Llc) is 1922095694 and was assigned on September 2005. Published on January 2, 2013.NPI 1922095694 Organization Radiology Diagnostic Radiology CLIA Number 50D1099043 CLIA Certificate of Waiver NPI Profile for EVERGREEN RADIA (EVERGREEN RADIA LLC)Įvergreen Radia (evergreen Radia Llc) is a provider established in Kirkland, Washington specializing in radiology (diagnostic radiology). The business address is 11521 Ne 128th St, Kirkland, WA 98034-4317. The organization name is EVERGREEN RADIA LLC. Michael W Itagaki is a diagnostic radiology enrolled with Centers for Medicare & Medicaid Services (CMS).

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#Evergreen radia kirkland registration

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