OLYMPIA OPEN MRI LLC
NPI 1073573820
Radiology - Diagnostic Radiology in Lacey, WA

Active since March 24, 2006
669 WOODLAND SQUARE LOOP SE, STE D, LACEY, WA 98503(360) 413-9393(360) 413-9365 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Radiology
  • Diagnostic Radiology

About OLYMPIA OPEN MRI LLC

This page provides the complete NPI Profile along with additional information for Olympia Open Mri Llc, a provider established in Lacey, Washington operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1073573820 assigned on March 2006. The practitioner's primary taxonomy code is 2085R0202X. 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 Ms. Susan Michael Golden (Managing Member)

NPI
1073573820 Verify this NPI
Provider Name
OLYMPIA OPEN MRI LLC
Entity Type
Organization
Location Address
669 WOODLAND SQUARE LOOP SE STE D LACEY, WA 98503
Location Phone
(360) 413-9393
Location Fax
(360) 413-9365
Mailing Address
10151 SW BARBUR BLVD STE 105D PORTLAND, OR 97219
Mailing Phone
(503) 246-2808
Mailing Fax
(503) 246-2681
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2006
Last Update Date
10-10-2007
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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:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. SUSAN MICHAEL GOLDEN

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(503) 246-2808

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
GAB19040MEDICARE ID-TYPE UNSPECIFIED (04) 
7200116MEDICAID (05)WA 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist (Pediatrics)
669 WOODLAND SQUARE LOOP SE, C
LACEY, WA 98503
Physical Therapist
669 WOODLAND SQUARE LOOP SE, SUITE C
LACEY, WA 98503
Physical Therapist
669 WOODLAND SQUARE LOOP SE, SUITE C
LACEY, WA 98503
Clinic/Center (Mental Health (Including Community Mental Health Center))
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Marriage & Family Therapist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Family Medicine
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dentist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dental Hygienist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Family)
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dentist (General Practice)
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Nurse Practitioner (Family)
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Physical Therapist
669 WOODLAND SQUARE LOOP SE, SUITE C
LACEY, WA 98503
Physician Assistant
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Physician Assistant
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Clinic/Center (Federally Qualified Health Center (FQHC))
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dentist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Clinic/Center (Federally Qualified Health Center (FQHC))
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dental Hygienist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dental Hygienist
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
Dentist (Orthodontics and Dentofacial Orthopedics)
669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073573820, enumerated as an "organization" on March 24, 2006.

The provider is located at 669 WOODLAND SQUARE LOOP SE STE D LACEY, WA 98503 and the phone number is (360) 413-9393.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.