OLYMPIA OPEN MRI LLC
NPI 1073573820
Radiology - Diagnostic Radiology in Lacey, WA

NPI Status: Active since March 24, 2006

Contact Information

669 WOODLAND SQUARE LOOP SE
STE D
LACEY, WA
ZIP 98503
Phone: (360) 413-9393
Fax: (360) 413-9365

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  • Organization
  • Radiology
  • Diagnostic Radiology

About OLYMPIA OPEN MRI LLC

This page provides the complete NPI Profile along with additional information for Olympia Open Mri Llc, a provider established in Lacey, Washington operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1073573820 assigned on March 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ms. Susan Michael Golden (Managing Member)

NPI
1073573820
Provider Name
OLYMPIA OPEN MRI LLC
Entity Type
Organization
Location Address
669 WOODLAND SQUARE LOOP SE STE D LACEY, WA 98503
Location Phone
(360) 413-9393
Location Fax
(360) 413-9365
Mailing Address
10151 SW BARBUR BLVD STE 105D PORTLAND, OR 97219
Mailing Phone
(503) 246-2808
Mailing Fax
(360) 413-9365
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-24-2006
Last Update Date
10-10-2007
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Location Map

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 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.

Insurance Plans Accepted

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

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

MS. SUSAN MICHAEL GOLDEN

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(503) 246-2808

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
GAB19040MEDICARE ID-TYPE UNSPECIFIED (04) 
7200116MEDICAID (05)WA 

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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.
1073573820
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143107684
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 0 + 7 + 6 + 8 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1073573820 is valid because the calculated check digit 0 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
1568445492 JANET SHEFFERLY OTR/L
Individual
Occupational Therapist (Pediatrics)669 WOODLAND SQUARE LOOP SE C
LACEY, WA 98503
(360) 786-9400
1295828606 DIANA HOLLINGBERY PT
Individual
Physical Therapist669 WOODLAND SQUARE LOOP SE SUITE C
LACEY, WA 98503
(360) 923-5323
1831282243 JEFFREY HOLLINGBERY PT
Individual
Physical Therapist669 WOODLAND SQUARE LOOP SE SUITE C
LACEY, WA 98503
(360) 923-5323
1801182670SEA-MAR COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4880
1215288956 AMBER KAY JAWORSKI
Individual
Marriage & Family Therapist669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4880
1669430948 HUONG T LAKIN DO
Individual
Family Medicine669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1598170813 DAVID E. BARRELIER DDS.
Individual
Dentist669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4860
1649622044 MELISSA KAYLENE KROSS-JOSLIN RDH
Individual
Dental Hygienist669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1912420233 JUDITH HARTMAN RDH
Individual
Dental Hygienist669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4860
1023531134 SHEREE HARVEY DNP, ARNP, FNP-BC
Individual
Nurse Practitioner (Family)669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1790203339DR. LEIF ROGER GERRITZEN DMD
Individual
Dentist (General Practice)669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4860
1497261689 LADONNA ROBEY ARNP
Individual
Nurse Practitioner (Family)669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1215020623HOLLINGBERY PHYSICAL THERAPY
Organization
Physical Therapist669 WOODLAND SQUARE LOOP SE SUITE C
LACEY, WA 98503
(360) 923-5323
1811649155 ANNA MORROW DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4860
1255651436 HUU DUC DANG LUU DMD
Individual
Dentist669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4860
1013578095 CECILIA CHRISTENSEN PHYSICIAN ASSISTANT
Individual
Physician Assistant669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1700628526 JOLY WU PA-C
Individual
Physician Assistant669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1326363359SEA-MAR COMMUNITY HEALTH CENTER
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840
1033233549DR. PATRICE MARY YODER DDS
Individual
Dentist669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4860
1700101797SEA MAR COMMUNITY HEALTH CENTERS
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))669 WOODLAND SQUARE LOOP SE
LACEY, WA 98503
(360) 359-4840

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073573820, enumerated in the NPI registry as an "organization" on March 24, 2006

The provider is located at 669 Woodland Square Loop Se Ste D Lacey, Wa 98503 and the phone number is (360) 413-9393

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.