SOUTH SOUND RADIOLOGY
NPI 1902990500
Radiology - Diagnostic Radiology in Olympia, WA

NPI Status: Active since October 03, 2006

Contact Information

3417 ENSIGN RD NE
OLYMPIA, WA
ZIP 98506
Phone: (360) 493-4600
Fax: (360) 493-4603

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  • Organization
  • Radiology
  • Diagnostic Radiology
  • Accepts Insurance
  • CLIA Number: 50D1071153
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About SOUTH SOUND RADIOLOGY

This page provides the complete NPI Profile along with additional information for South Sound Radiology, a provider established in Olympia, Washington operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1902990500 assigned on October 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 4 years ago. South Sound Radiology operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as South Sound Radiology. The authorized official of this NPI record is Dr. Charles Hao Shen Md (Authorized Official)

NPI
1902990500
Provider Legal Name
SOUTH SOUND RADIOLOGISTS INC P S
Other Organization Name
SOUTH SOUND RADIOLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3417 ENSIGN RD NE OLYMPIA, WA 98506
Location Phone
(360) 493-4600
Location Fax
(360) 493-4603
Mailing Address
19020 33RD AVE W STE 210 LYNNWOOD, WA 98036
Mailing Phone
(425) 563-1500
Mailing Fax
(360) 493-4603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-03-2006
Last Update Date
01-17-2022
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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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

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

DR. CHARLES HAO SHEN MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(425) 563-1500

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
034600OTHER (01)WAL & I
7871908MEDICAID (05)WA 
1046150MEDICAID (05)WA 

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 this NPI number is:

CLIA Number
50D1071153
Facility Type
Community Clinic
Certificate Effective Date
March 08, 2024
Certificate Expiration Date
April 04, 2028
Laboratory Director
EILEEN LORENZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to South Sound Radiology 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.

Reviews for SOUTH SOUND RADIOLOGY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1902990500, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 9 → 18 → 9 0 → 0 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 0 + 2 + 1 + 8 + 9 + 0 + 5 + 0 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1902990500.

Other Providers at the Same Location


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

Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Specialist
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Vascular & Interventional Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Vascular & Interventional Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Vascular & Interventional Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Vascular & Interventional Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Vascular & Interventional Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506
Radiology (Diagnostic Radiology)
3417 ENSIGN RD NE
OLYMPIA, WA 98506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902990500, enumerated as an "organization" on October 03, 2006.

The provider is located at 3417 ENSIGN RD NE OLYMPIA, WA 98506 and the phone number is (360) 493-4600.

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

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.