Unknown Individual – Nuclear Radiology Physician, NPI 1700959772

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Nuclear Radiology Physician. They hold a License No. 00011126 (WA). The NPI Number for Unknown Individual is 1700959772

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700959772
Phone
(253) 383-0505
Address
2202 S CEDAR ST STE 200
Deactivation Date
12 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2202 S CEDAR ST STE 200

    TACOMA, WA 984052318

    Phone: (253) 383-0505

    Fax: (253) 383-0730

    Type: Location

  • 3402, South 18th Street, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984051903

    Phone: (253) 383-0505

    Fax: (253) 383-0730

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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 98405)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1700959772 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Nuclear Radiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Tacoma, Washington in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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