Proliance Mri North Puget Sound

LBN: Proliance Surgeons, Inc., P.S.
Proliance Mri North Puget Sound is an health care organization with primary practice located at 6808 220Th St Sw Ste 105 , Mountlake Terrace WA 98043-2187. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging, Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 967-6490, or through Pleasant, Cori M. via phone (206) 838-2585.

Contact Information

Primary practice address
6808 220Th St Sw Ste 105 Mountlake Terrace WA 98043-2187
Phone: (425) 967-6490
Fax: (425) 967-6495
Website:
Map and Directions
Authorized official contact:
Name: Pleasant, Cori M.
Phone: (206) 838-2585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X
Technologists, Technicians & Other Technical Service Providers / Magnetic Resonance Imaging 2471M1202X
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X 601484763 Washington
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1184140477
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as Proliance Mri North Puget Sound
Authorized official Pleasant, Cori M.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2017
Last updated Aug 22nd, 2022 - about 4 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 1184140477 NPPES
Washington MEDICAID 2155286

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