PROLIANCE SURGEONS, INC., P.S.
NPI 1548832017
Clinic/Center - Magnetic Resonance Imaging (MRI) in Puyallup, WA

NPI Status: Active since July 14, 2021

Contact Information

3801 5TH ST SE
SUITE 120
PUYALLUP, WA
ZIP 98374
Phone: (253) 864-4106
Fax: (253) 864-4143

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)

About PROLIANCE SURGEONS, INC., P.S.

This page provides the complete NPI Profile along with additional information for Proliance Surgeons, Inc., P.s., a provider established in Puyallup, Washington operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1548832017 assigned on July 2021. The practitioner's primary taxonomy code is 261QM1200X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Proliance Surgeons, Inc., P.s. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Laura Kleisle (Chief Risk Officer)

NPI
1548832017
Provider Name
PROLIANCE SURGEONS, INC., P.S.
Entity Type
Organization
Location Address
3801 5TH ST SE SUITE 120 PUYALLUP, WA 98374
Location Phone
(253) 864-4106
Location Fax
(253) 864-4143
Mailing Address
3801 5TH ST SE STE 110 PUYALLUP, WA 98374
Mailing Phone
(253) 845-9585
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2021
Last Update Date
07-14-2021
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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

Clinic/Center Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
22085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

 
32471M1202XTechnologists, Technicians & Other Technical Service Providers

Radiologic Technologist
Magnetic Resonance Imaging

 
4261QR0200XAmbulatory Health Care Facilities

Clinic/Center
Radiology

 

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.

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

MRS. LAURA KLEISLE

Authorized Official Title
CHIEF RISK OFFICER
Authorized Official Phone
(206) 838-2590

Reviews for PROLIANCE SURGEONS, INC., P.S.

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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.
1548832017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2588163402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 8 + 8 + 1 + 6 + 3 + 4 + 0 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1548832017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538138268DR. ERIC GEOFFREY PUTTLER M.D.
Individual
Orthopaedic Surgery (Orthopaedic Trauma)3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1912958562 WENDY LEIGH HEUSCH DO
Individual
Orthopaedic Surgery3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1013951805 JOHN T STEEDMAN JR. MD
Individual
Orthopaedic Surgery3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1447286521 FREDERIC L JOHNSTONE MD
Individual
Orthopaedic Surgery3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1023044880 STEVEN CHAS BRACK DO
Individual
Orthopaedic Surgery3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1932135795 NEAL H SHONNARD MD
Individual
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1295762979 STEVEN K YAMAMOTO DO
Individual
Orthopaedic Surgery3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1497192629 JESSICA OPAL GARDNER DPT
Individual
Physical Therapist3801 5TH ST SE 220
PUYALLUP, WA 98374
(253) 445-4258
1922114701 MEGAN LYNN CHARBONEAU MD
Individual
Physical Medicine & Rehabilitation (Sports Medicine)3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1801029665MS. EMILY OSSIAN HALL MPH, PA-C
Individual
Physician Assistant3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585
1366487803 LYNN PAGE PA-C
Individual
Physician Assistant3801 5TH ST SE SUITE 110
PUYALLUP, WA 98374
(253) 845-9585

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548832017, enumerated in the NPI registry as an "organization" on July 14, 2021

The provider is located at 3801 5th St Se Suite 120 Puyallup, Wa 98374 and the phone number is (253) 864-4106

This medical organization specializes in Clinic/Center with taxonomy code 261QM1200X with a focus in Magnetic Resonance Imaging (MRI)

This NPI record was last updated on July 14, 2021. 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.