1. Home
  2. Directory
  3. Washington
  4. Lacey
  5. Psychiatry Neurology
  6. NPI Profile

IDALIS INC
NPI 1184640591
Psychiatry & Neurology - Neurology in Lacey, WA

Active since July 15, 2006
3663 COLLEGE ST SE STE A, LACEY, WA 98503(360) 413-1728(360) 413-1669 Get Directions Write a Review

NPPES record last updated: December 10, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Idalis Inc NPPES

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

IDALIS INC (NPI 1184640591) is a healthcare organization registered as a neurology in Lacey, Washington and active in the NPI registry since July 2006. The organization lists Samuel E Coor, Owner, as its authorized official.

NPPES Registry Identity

NPI1184640591
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameIDALIS INC
Location Address3663 COLLEGE ST SE STE ALacey, WA 98503-3529
Mailing Address3663 College St Se Ste ALacey, WA 98503-3529 · (360) 413-1728 · Fax (360) 413-1669
Phone(360) 413-1728
Fax(360) 413-1669
Organization SubpartNo
Authorized OfficialSamuel E CoorOwner · (360) 413-1728
Enumeration DateJuly 15, 2006
Last NPPES UpdateDecember 10, 2007
✔ NPI 1184640591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · 06-00027820
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3663 COLLEGE ST SE STE A, Lacey, WA 98503
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

SOTHYRY CHI LM, CPM
Midwife
3663 COLLEGE ST SE STE A
LACEY, WA 98503
Thurston County (360) 481-0105

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 Idalis Inc's NPI number?

The NPI number for Idalis Inc is 1184640591. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Idalis Inc located?

Idalis Inc is located at 3663 College St SE Ste A, Lacey, WA 98503. The listed phone number is (360) 413-1728.

What is Idalis Inc's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Idalis Inc was last updated on December 10, 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.