BELLEVUE MEDICAL IMAGING, PLLC
NPI 1063606309
Radiologic Technologist in Bellevue, WA
- Organization
- Radiologic Technologist
- Accepts Insurance
- CLIA Number: 50D2001524
- CLIA Cert. Type: Other - CLINIC
- CLIA Exp. Date: 04-04-2028
About BELLEVUE MEDICAL IMAGING, PLLC
This page provides the complete NPI Profile along with additional information for Bellevue Medical Imaging, Pllc, a provider established in Bellevue, Washington operating as a Radiologic Technologist. The healthcare provider is registered in the NPI registry with number 1063606309 assigned on August 2007. The practitioner's primary taxonomy code is 247100000X with license number 22661 (WA). The provider is registered as an organization and their NPI record was last updated 19 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 Valerie S Johansen (Bookkeeper)
- NPI
- 1063606309 Verify this NPI
- Provider Name
- BELLEVUE MEDICAL IMAGING, PLLC
- Entity Type
- Organization
- Location Address
- 1400 116TH AVE NE BELLEVUE, WA 98004
- Location Phone
- (425) 454-1700
- Location Fax
- (425) 454-0600
- Mailing Address
- PO BOX 727 BELLEVUE, WA 98009
- Mailing Phone
- (425) 454-1700
- Mailing Fax
- (425) 454-0600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2007
- Last Update Date
- 08-29-2007
- 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
Radiologic Technologist
- Taxonomy Code
- 247100000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- 22661
- License State
- WA
- Taxonomy Description
- A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
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
- 50D2001524
- Facility Type
- Other - CLINIC
- Certificate Effective Date
- December 22, 2009
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- BRIAN JACOBS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bellevue Medical Imaging, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BELLEVUE MEDICAL IMAGING, PLLC
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
BELLEVUE, WA 98004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063606309, enumerated as an "organization" on August 29, 2007.
The provider is located at 1400 116TH AVE NE BELLEVUE, WA 98004 and the phone number is (425) 454-1700.
Radiologic Technologist with taxonomy code 247100000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
