Unknown Individual – Diagnostic Radiology Physician, NPI 1104889575
Diagnostic Radiology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Inland Imaging Business Center, 801, South Stevens Street, Cliff–Cannon, Spokane, Spokane County, Washington, 99201, United States
SPOKANE, WA 992042654
Phone: (509) 747-4455
Fax: (509) 363-7064
Type: Mailing
Pacific Tower, 1200, 12th Avenue South, Little Saigon, Yesler Terrace, Seattle, King County, Washington, 98144, United States
SEATTLE, WA 981442712
Phone: (509) 747-4455
Fax: (509) 363-7064
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99204)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | WA | 71010 | X-ray of chest, 1 view, front | 424 | 409 |
| DIAGNOSTIC RADIOLOGY | WA | 71250 | CT scan chest | 131 | 84 |
| DIAGNOSTIC RADIOLOGY | WA | 73630 | X-ray of foot, minimum of 3 views | 23 | 15 |
| DIAGNOSTIC RADIOLOGY | WA | 74177 | CT scan of abdomen and pelvis with contrast | 174 | 115 |
| DIAGNOSTIC RADIOLOGY | WA | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | WA | |
| Nurse Practitioner | CA | |
| R H E U M A T O L O G Y | WA | |
| - | WA | |
| - | WA | |
| Internal Medicine | UT | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | WA | |
| Clinical Social Worker | WA | |
| N E P H R O L O G Y | WA | |
| - | WA |
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