Breast Diagnostic Center

LBN: Bdc Radiology Inc Ps
Breast Diagnostic Center is an health care organization with primary practice located at 1268 E Main St Suite 1, Auburn WA 98002-5748. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Bdc Radiology Inc Ps can be contacted via phone (253) 735-1991, or through Blackwelder, John T via phone (253) 735-1991.

Contact Information

Primary practice address
1268 E Main St Suite 1 Auburn WA 98002-5748
Phone: (253) 735-1991
Fax: (253) 735-8837
Website:
Map and Directions
Authorized official contact:
Name: Blackwelder, John T Doctor of Medicine (MD)
Phone: (253) 735-1991

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 602300908 Washington

Profile Details

NPI number 1811005861
LBN Legal business name Bdc Radiology Inc Ps
DBA Doing business as Breast Diagnostic Center
Authorized official Blackwelder, John T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2006
Last updated Jul 17th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811005861 NPPES
Washington MEDICAID 7117252

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