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PROLIANCE SURGEONS INC. P.S. NPI 1073768719


NPI Information

NPI: 1073768719
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE ADVANCED IMAGING CENTER

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
510 8TH AVE NE STE 110
ISSAQUAH, WA
ZIP 98029
Phone: (425) 507-0810
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PROLIANCE SURGEONS, INC., P.S. is a magnetic resonance imaging (mri) clinic center in Issaquah, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1073768719. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Advanced Imaging Center.

The provider's business location address is:

510 8TH AVE NE STE 110
ISSAQUAH, WA
ZIP 98029-436
Phone: (425) 507-0810
Fax: (425) 507-0805

The provider's authorized official is Cori M. Pleasant .
The authorized official title is Mgr Provider Relations/enrollment and has the following contact phone number (206) 838-2585.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 12/27/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32471M1202XRadiologic TechnologistMagnetic Resonance ImagingNo
4261QR0200XClinic/CenterRadiologyNo
5261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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