VALLEY DIAGNOSTIC IMAGING SERVICES OLYMPIC BUILDING NPI 1215918081
Radiology - Diagnostic Radiology in Renton, WA

Organization Radiology Diagnostic Radiology CLIA Number 50D1092364 CLIA Certificate of Waiver

About VALLEY DIAGNOSTIC IMAGING SERVICES OLYMPIC BUILDING

Valley Diagnostic Imaging Services Olympic Building is a provider established in Renton, Washington specializing in Radiology with a focus in diagnostic radiology . The NPI number of Valley Diagnostic Imaging Services Olympic Building is 1215918081 and was assigned on November 2005. 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. Valley Diagnostic Imaging Services Olympic Building operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Valley Diagnostic Imaging Services Olympic Building. The authorized official of this NPI record is Mr. Paul Hayes R.n. (Board Chairman)

NPI
1215918081
Provider NameVALLEY DIAGNOSTIC IMAGING SERVICES OLYMPIC BUILDING
Provider Location Address400 S 43RD ST OLYMPIC BUILDING RENTON, WA 98055
Provider Mailing AddressPO BOX 24235 FEDERAL WAY, WA 98093
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameVALLEY DIAGNOSTIC IMAGING SERVICES OLYMPIC BUILDING
Other Name TypeDoing Business As (3)
Enumeration Date11-09-2005
Last Update Date01-30-2012



The CLIA number of Valley Diagnostic Imaging Services Olympic Building is 50D1092364 registered as a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Valley Diagnostic Imaging Services Olympic Building 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.



Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

VALLEY DIAGNOSTIC IMAGING SERVICES OLYMPIC BUILDING
400 S 43RD ST
OLYMPIC BUILDING
RENTON, WA
ZIP 98055
Phone: (425) 656-5550
Fax: (425) 656-5552

Get Directions


Mailing Address

VALLEY DIAGNOSTIC IMAGING SERVICES OLYMPIC BUILDING
PO BOX 24235
FEDERAL WAY, WA
ZIP 98093
Phone: (253) 661-1700
Fax: (253) 661-4565


Authorized Official

Authorized Official NameMR. PAUL HAYES R.N.
Authorized Official TitleBOARD CHAIRMAN
Authorized Official Phone(425) 656-3429

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 the NPI number 1215918081 is:

CLIA Number50D1092364
Facility TypeCOMMUNITY CLINIC
Certificate TypeCertificate of Waiver

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
AB38657MEDICARE PIN (08)WA
7116700MEDICAID (05)WA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215918081
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
222518116016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 1 + 8 + 1 + 1 + 6 + 0 + 1 + 6 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1215918081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1841272630MS. KATHLEEN PORTER PHARM.D.
Individual
Pharmacist400 S 43RD ST
RENTON, WA 98055
(425) 917-6776
1356329221MR. NICHOLAS M REZEK PA C
Individual
Physician Assistant400 S 43RD ST
RENTON, WA 98055
(425) 228-3450
1174581573 STEPHEN WILLIAM BRETZ MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 251-3440
1417908591 JOHN PAUL NARDELLA MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(800) 540-1814
1033165097VALLEY ANESTHESIA ASSOCIATES, PLLC
Organization
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(800) 540-1814
1134169683 PETER R. SCHMIDT MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1083655682PUBLIC HOSPITAL DISTRICT #1 OF KING COUNTY
Organization
Surgery400 S 43RD ST
RENTON, WA 98055
(425) 656-5512
1528000239 DAVID STERNFELD MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3440
1134156714 MICHELLE MCLAUGHLIN CRNA
Individual
Nurse Anesthetist, Certified Registered400 S 43RD ST
RENTON, WA 98055
(800) 540-1814
1972521391 LAURIE E FORCE ARNP
Individual
Nurse Practitioner400 S 43RD ST
RENTON, WA 98055
(425) 656-5512
1659392512 JAMES L RUDOLPH MD
Individual
Internal Medicine400 S 43RD ST
RENTON, WA 98055
(425) 228-3440
1801819743 SHANNON TAYLOR CORRIGAN M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1154339539 KARL H KAUFMANN MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1326056771 LARRY J KADEG MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST ER DEPT
RENTON, WA 98055
(425) 228-3450
1376654681 MANH MK NGUYEN MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1053422378 ICHIRO OTSU MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1770694929 RODRICK J XUEREB MD
Individual
Anesthesiology400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1790897932 SCOTT THOMAS MILNE MD
Individual
Emergency Medicine (Emergency Medical Services)400 S 43RD ST
RENTON, WA 98055
(428) 228-3450
1881706869 SAMUEL HARRIS POPE III RN
Individual
Nurse Anesthetist, Certified Registered400 S 43RD ST
RENTON, WA 98055
(425) 353-3788
1376655332 RAYMOND J RADELL RN
Individual
Nurse Anesthetist, Certified Registered400 S 43RD ST
RENTON, WA 98055
(425) 353-3788

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Valley Diagnostic Imaging Services Olympic Building is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.