MT BAKER IMAGING LLC
NPI 1295725133
Radiology - Diagnostic Radiology in Bellingham, WA

Active since October 23, 2005CLIA Certified · 3 labs
2930 SQUALICUM PKWY STE 101, BELLINGHAM, WA 98225(360) 733-0430(360) 594-4012 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Feb 5, 2021, Nov 13, 2019 (3 updates tracked since 2019).

About Mt Baker Imaging Llc NPPES

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

MT BAKER IMAGING LLC (NPI 1295725133) is a healthcare organization registered as a diagnostic radiology in Bellingham, Washington and active in the NPI registry since October 2005. The organization holds 3 active CLIA laboratory certificates, maintains a secondary practice location in Lynden, and lists Stacy Millar, Director, Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1295725133
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameMT BAKER IMAGING LLC
Location Address2930 SQUALICUM PKWY STE 101Bellingham, WA 98225-1854
Mailing AddressPo Box 24326Seattle, WA 98124-0326 · (360) 647-2422 · Fax (360) 255-2263
Fax(360) 594-4012
Organization SubpartNo
Authorized OfficialStacy MillarDirector, Revenue Cycle · (360) 788-9004
Enumeration DateOctober 23, 2005
Last NPPES UpdateOctober 3, 20243 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1295725133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in WA · 602490356
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2930 SQUALICUM PKWY STE 101, Bellingham, WA 98225

Secondary Practice Location 1

Location 11610 Grover St, SUITE A-4Lynden, WA 98264-1539 · Phone (360) 733-0430 · Fax (360) 733-0438

Other Identifiers 1

Medicaid7128143WA

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

CLIA Laboratory Certificates CMS CLIA 3

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 50D1083741

Mt Baker Imaging · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D1083741
Laboratory TypeOther
Certificate Effective DateMay 8, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPeter Buetow
Laboratory Phone(360) 733-0430
Laboratory LocationMt Baker Imaging2930 Squalicum Parkway, Ste 101, Bellingham, WA 98225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D1093596

Mt Baker Imaging · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D1093596
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 23, 2008
Certificate Expiration DateApril 4, 2028
Laboratory DirectorPeter Buetow
Laboratory Phone(360) 733-0430
Laboratory LocationMt Baker Imaging4029 NW Ave Ste 102, Bellingham, WA 98225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2166976

Mt Baker Imaging · Bellingham, WA
Active · expires Apr 4, 2028
CLIA Number50D2166976
Laboratory TypeClinic
Certificate Effective DateMay 30, 2019
Certificate Expiration DateApril 4, 2028
Laboratory DirectorStephen Buetow
Laboratory Phone(360) 733-0430
Laboratory LocationMt Baker Imaging710 Birchwood Ave Ste 102, Bellingham, WA 98225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Radiology Practitioner Assistant
2930 SQUALICUM PKWY STE 101
BELLINGHAM, WA 98225
Nurse Practitioner (Family)
2930 SQUALICUM PKWY STE 101
BELLINGHAM, WA 98225

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 Mt Baker Imaging LLC's NPI number?

The NPI number for Mt Baker Imaging LLC is 1295725133. It was assigned to this organization in the NPPES registry on October 23, 2005.

Where is Mt Baker Imaging LLC located?

Mt Baker Imaging LLC is located at 2930 Squalicum Pkwy Ste 101, Bellingham, WA 98225. The listed phone number is (360) 733-0430.

What is Mt Baker Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Mt Baker Imaging LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Mt Baker Imaging LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mt Baker Imaging LLC 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 Mt Baker Imaging LLC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.