COLUMBIA RIVER RADIOLOGY, PC
NPI 1053708297
Radiology - Diagnostic Radiology in The Dalles, OR
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 38D2018203
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-18-2027
About COLUMBIA RIVER RADIOLOGY, PC
This page provides the complete NPI Profile along with additional information for Columbia River Radiology, Pc, a provider established in The Dalles, Oregon operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1053708297 assigned on April 2015. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Andrew Boyer Md (Owner)
- NPI
- 1053708297 Verify this NPI
- Provider Name
- COLUMBIA RIVER RADIOLOGY, PC
- Entity Type
- Organization
- Location Address
- 1700 E 19TH ST THE DALLES, OR 97058
- Location Phone
- (541) 296-1111
- Mailing Address
- PO BOX 93 LANDISVILLE, PA 17538
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-24-2015
- Last Update Date
- 04-24-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 38D2018203
- Facility Type
- Physician Office
- Certificate Effective Date
- June 19, 2025
- Certificate Expiration Date
- June 18, 2027
- Laboratory Director
- PETER KOSEK
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Columbia River Radiology, Pc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
THE DALLES, OR 97058
THE DALLES, OR 97058
THE DALLES, OR 97058
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053708297, enumerated as an "organization" on April 24, 2015.
The provider is located at 1700 E 19TH ST THE DALLES, OR 97058 and the phone number is (541) 296-1111.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
