Evergreen Radia

LBN: Evergreen Radia Llc
Evergreen Radia is an health care organization with primary practice located at 11521 Ne 128Th St Suite 200, Kirkland WA 98034-4317. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Evergreen Radia Llc can be contacted via phone (425) 952-6100, or through Stambaugh, Lloyd via phone (425) 563-1500.

Contact Information

Primary practice address
11521 Ne 128Th St Suite 200 Kirkland WA 98034-4317
Phone: (425) 952-6100
Fax: (425) 952-6150
Website:
Map and Directions
Authorized official contact:
Name: Stambaugh, Lloyd Doctor of Medicine (MD)
Phone: (425) 563-1500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 602317167 Washington

Profile Details

NPI number 1922095694
LBN Legal business name Evergreen Radia Llc
DBA Doing business as Evergreen Radia
Authorized official Stambaugh, Lloyd Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2005
Last updated Sep 12th, 2018 - about 8 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 1922095694 NPPES
Washington MEDICAID 7118227
Washington Other 175238
Washington Other 8933574

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