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EVERGREEN RADIA
NPI 1922095694
Radiology - Diagnostic Radiology in Kirkland, WA

Active since September 28, 2005CLIA 50D1099043 · Waiver
11521 NE 128TH ST, SUITE 200, KIRKLAND, WA 98034(425) 952-6100(425) 952-6150 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Radia NPPES

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

EVERGREEN RADIA (NPI 1922095694) is a healthcare organization registered as a diagnostic radiology in Kirkland, Washington and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Lloyd Stambaugh, President, as its authorized official.

NPPES Registry Identity

NPI1922095694
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameEVERGREEN RADIA LLC
Location Address11521 NE 128TH ST, SUITE 200Kirkland, WA 98034-4317
Mailing Address19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748 · (425) 563-1500 · Fax (425) 563-1501
Phone(425) 952-6100
Fax(425) 952-6150
Organization SubpartNo
Authorized OfficialLloyd StambaughPresident · (425) 563-1500
Enumeration DateSeptember 28, 2005
Last NPPES UpdateSeptember 12, 2018
✔ NPI 1922095694 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 · 602317167
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
11521 NE 128TH ST, Kirkland, WA 98034
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Other Names 1

Doing Business AsEvergreen Radia

Other Identifiers 3

Other175238WA · Group Labor & Industries
Medicaid7118227WA
Other8933574WA · Group Crime Victims

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 50D1099043

Evergreen Radia Imaging Center · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D1099043
Laboratory TypePractitioner Other
Certificate Effective DateMay 4, 2009
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDawn Hastreiter
Laboratory Phone(425) 952-6100
Laboratory LocationEvergreen Radia Imaging Center11521 NE 128th St Ste 200, Kirkland, WA 98034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

MR. STEPHEN WALLINGFORD PRICE PA-C
Physician Assistant
11521 NE 128TH ST, SUITE 100
KIRKLAND, WA 98034
King County (425) 899-6800
EVERGREENHEALTH
Clinic/Center (Primary Care)
11521 NE 128TH ST, SUITE 100
KIRKLAND, WA 98034
King County (425) 899-6797
DR. HENRY SU MD
Internal Medicine (Sleep Medicine)
11521 NE 128TH ST, SUITE 130
KIRKLAND, WA 98034
King County (425) 899-4280
DR. ARTHUR CALVERT ISRAEL MD
Internal Medicine (Geriatric Medicine)
11521 NE 128TH ST, SUITE 100
KIRKLAND, WA 98034
King County (425) 899-6800
ASHLEY ROHDE ARNP
Nurse Practitioner (Family)
11521 NE 128TH ST
KIRKLAND, WA 98034
King County (425) 899-6800
RYAN MICHAEL CULALA PHARM.D.
Pharmacist
11521 NE 128TH ST, STE 100
KIRKLAND, WA 98034
King County (425) 899-6800
MRS. MONIKA RAJPAL PHARM.D. R.PH
Pharmacist
11521 NE 128TH ST, SUITE 100
KIRKLAND, WA 98034
King County (425) 899-6800
KING COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Internal Medicine
11521 NE 128TH ST, STE 100
KIRKLAND, WA 98034
King County (425) 899-6800

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 Evergreen Radia LLC's NPI number?

The NPI number for Evergreen Radia LLC is 1922095694. It was assigned to this organization in the NPPES registry on September 28, 2005. The provider is doing business as Evergreen Radia.

Where is Evergreen Radia LLC located?

Evergreen Radia LLC is located at 11521 NE 128th St Suite 200, Kirkland, WA 98034. The listed phone number is (425) 952-6100.

What is Evergreen Radia LLC's specialty?

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

Does Evergreen Radia LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D1099043) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Evergreen Radia LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Evergreen Radia 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 Evergreen Radia LLC was last updated on September 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.