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SAMARITAN INLAND MRI LLC
NPI 1376504803
Radiology - Diagnostic Radiology in Moses Lake, WA

Active since April 01, 2006CLIA 50D0875988 · Microscopy
1550 S PIONEER WAY, MOSES LAKE, WA 98837(509) 747-4455(509) 363-7064 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samaritan Inland Mri Llc NPPES

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

SAMARITAN INLAND MRI LLC (NPI 1376504803) is a healthcare organization registered as a diagnostic radiology in Moses Lake, Washington and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Kathleen Wilson, Cao, as its authorized official.

NPPES Registry Identity

NPI1376504803
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameSAMARITAN INLAND MRI LLC
Location Address1550 S PIONEER WAYMoses Lake, WA 98837-4613
Mailing Address1550 S Pioneer WayMoses Lake, WA 98837-4613 · (509) 747-4455 · Fax (509) 363-7064
Phone(509) 747-4455
Fax(509) 363-7064
Organization SubpartNo
Authorized OfficialKathleen WilsonCao · (509) 747-4455
Enumeration DateApril 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376504803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1550 S PIONEER WAY, Moses Lake, WA 98837
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 50D0875988

Samaritan Clinic · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D0875988
Laboratory TypePhysician Office
Certificate Effective DateSeptember 17, 1998
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAndrea Carter
Laboratory Phone(509) 764-2925
Laboratory LocationSamaritan Clinic1550 S Pioneer Way, Suite 115, Moses Lake, WA 98837
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Accreditation 50D0872400

Samaritan Hospital Laboratory · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D0872400
Laboratory TypeHospital
Certificate Effective DateJune 30, 1993
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDr. Georgi Pirumyan
Laboratory Phone(509) 766-1323
Laboratory LocationSamaritan Hospital Laboratory801 E Wheeler Rd, Moses Lake, WA 98837
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 50D0969719

Samaritan Hospital Nursing Department · Moses Lake, WA
Active · expires Apr 4, 2028
CLIA Number50D0969719
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 24, 2000
Certificate Expiration DateApril 4, 2028
Laboratory DirectorJill A. Dudik Bross
Laboratory Phone(509) 766-1323
Laboratory LocationSamaritan Hospital Nursing Department801 East Wheeler Road, Moses Lake, WA 98837
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

LOUIS F. MARTIN M.D.
Surgery
1550 S PIONEER WAY, SUITE 370
MOSES LAKE, WA 98837
Grant County (509) 764-2928
DR. ALLEN DEE QUINN DO
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Grant County (509) 765-1538
DR. ANNE M. COURY M.D.
Obstetrics & Gynecology
1550 S PIONEER WAY, SUITE 205
MOSES LAKE, WA 98837
Grant County (509) 793-9786
SICA FAMILY DERMATOLOGY
Specialist
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Grant County (509) 765-7462
RODNEY E GROLMAN MD
Surgery
1550 S PIONEER WAY, SUITE 370
MOSES LAKE, WA 98837
Grant County (410) 218-8059
DR. DAVID THURN EARL MD
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Grant County (509) 765-1538
DR. DAVID EARL, MD INC. PS
Internal Medicine
1550 S PIONEER WAY, SUITE 200
MOSES LAKE, WA 98837
Grant County (509) 765-1538
MR. ETHAN D WASHBURN PA-C
Physician Assistant
1550 S PIONEER WAY
MOSES LAKE, WA 98837
Grant County (509) 793-9770

Frequently Asked Questions

What is SAMARITAN INLAND MRI LLC's NPI number?

The NPI number assigned to this healthcare provider is 1376504803, enumerated as an "organization" on April 01, 2006.

Where is the provider located?

The provider is located at 1550 S PIONEER WAY MOSES LAKE, WA 98837 and the phone number is (509) 747-4455.

What is the provider's specialty?

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