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BELLEVUE MEDICAL IMAGING, PLLC
NPI 1063606309
Radiologic Technologist in Bellevue, WA

Active since August 29, 2007CLIA 50D2001524 · Waiver
1400 116TH AVE NE, BELLEVUE, WA 98004(425) 454-1700(425) 454-0600 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bellevue Medical Imaging, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLEVUE MEDICAL IMAGING, PLLC (NPI 1063606309) is a healthcare organization registered as a radiologic technologist in Bellevue, Washington and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Valerie S Johansen, Bookkeeper, as its authorized official.

NPPES Registry Identity

NPI1063606309
Entity TypeOrganization
Primary Taxonomy247100000X
Legal Business NameBELLEVUE MEDICAL IMAGING, PLLC
Location Address1400 116TH AVE NEBellevue, WA 98004-3816
Mailing AddressPo Box 727Bellevue, WA 98009-0727 · (425) 454-1700 · Fax (425) 454-0600
Phone(425) 454-1700
Fax(425) 454-0600
Organization SubpartNo
Authorized OfficialValerie S JohansenBookkeeper · (425) 454-1700
Enumeration DateAugust 29, 2007
✔ NPI 1063606309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
License✔ Licensed in WA · 22661
Definition
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
1400 116TH AVE NE, Bellevue, WA 98004
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2001524

Bellevue Medical Imaging PLLC · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2001524
Laboratory TypeClinic
Certificate Effective DateDecember 22, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorBrian Jacobs
Laboratory Phone(425) 454-1700
Laboratory LocationBellevue Medical Imaging PLLC1400 116th Ave NE, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

APEX SURGEONS, PS
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1400 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 777-4411
TIMOTHY SCHWEITZER M.D.
Orthopaedic Surgery
1400 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 777-4411
BRIAN COATE JACOBS MD
Radiology (Diagnostic Radiology)
1400 116TH AVE NE
BELLEVUE, WA 98004
King County (425) 454-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bellevue Medical Imaging, PLLC's NPI number?

The NPI number for Bellevue Medical Imaging, PLLC is 1063606309. It was assigned to this organization in the NPPES registry on August 29, 2007.

Where is Bellevue Medical Imaging, PLLC located?

Bellevue Medical Imaging, PLLC is located at 1400 116th Ave NE, Bellevue, WA 98004. The listed phone number is (425) 454-1700.

What is Bellevue Medical Imaging, PLLC's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Does Bellevue Medical Imaging, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2001524) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bellevue Medical Imaging, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bellevue Medical Imaging, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bellevue Medical Imaging, PLLC was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.