DIRECT IMAGING AMBULATORY SURGERY CENTER
NPI 1689283285
Clinic/Center - Ambulatory Surgical in Yakima, WA

NPI Status: Active since July 29, 2020

Contact Information

6101 SUMMITVIEW AVE STE 200
YAKIMA, WA
ZIP 98908
Phone: (509) 902-8857
Fax: (509) 902-8855

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 50D2191060
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About DIRECT IMAGING AMBULATORY SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Direct Imaging Ambulatory Surgery Center, a provider established in Yakima, Washington operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1689283285 assigned on July 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. Direct Imaging Ambulatory Surgery Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Direct Imaging Ambulatory Surgery Center. The authorized official of this NPI record is Dave S Atteberry Md (Owner/member)

NPI
1689283285
Provider Legal Name
DIRECT IMAGING PC
Other Organization Name
DIRECT IMAGING AMBULATORY SURGERY CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
6101 SUMMITVIEW AVE STE 200 YAKIMA, WA 98908
Location Phone
(509) 902-8857
Location Fax
(509) 902-8855
Mailing Address
6101 SUMMITVIEW AVE STE 200 YAKIMA, WA 98908
Mailing Phone
(509) 902-8857
Mailing Fax
(509) 902-8855
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-29-2020
Last Update Date
03-26-2024
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
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)
1207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
2208600000XAllopathic & Osteopathic Physicians

Surgery

 
3261QR0200XAmbulatory 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.

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

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.

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

DAVE S ATTEBERRY MD

Authorized Official Title
OWNER/MEMBER
Authorized Official Phone
(412) 759-8895

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
6890698OTHER (01)WAAETNA
426319OTHER (01)WAL&I CLINIC
G9016079OTHER (01)WADI CLINIC PTAN
G9024448OTHER (01)WAASC MEDICARE PTAN

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
50D2191060
Facility Type
Physician Office
Certificate Effective Date
January 20, 2023
Certificate Expiration Date
April 04, 2028
Laboratory Director
DR. DAVE S. ATTEBERRY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Direct Imaging Ambulatory Surgery Center 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 DIRECT IMAGING AMBULATORY SURGERY CENTER

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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.
1689283285
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26169486216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 4 + 8 + 6 + 2 + 1 + 6 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1689283285 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043514623FRONTIER NEUROSURGERY PLLC
Organization
Durable Medical Equipment & Medical Supplies6101 SUMMITVIEW AVE STE 200
YAKIMA, WA 98908
(509) 902-8857
1326340969FRONTIER NEUROSURGERY PLLC
Organization
Neurological Surgery6101 SUMMITVIEW AVE STE 200
YAKIMA, WA 98908
(509) 902-8857
1811769755SOUND PAIN ALLIANCE
Organization
Anesthesiology (Pain Medicine)6101 SUMMITVIEW AVE STE 200
YAKIMA, WA 98908
(360) 839-6778
1205898103 THOMAS JACKSON PULLIAM M.D.
Individual
Internal Medicine (Gastroenterology)6101 SUMMITVIEW AVE STE 200
YAKIMA, WA 98908
(509) 902-8857
1457394470 ISMAEL C. VARGAS PA-C
Individual
Physician Assistant6101 SUMMITVIEW AVE STE 200
YAKIMA, WA 98908
(509) 902-8857

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689283285, enumerated in the NPI registry as an "organization" on July 29, 2020

The provider is located at 6101 Summitview Ave Ste 200 Yakima, Wa 98908 and the phone number is (509) 902-8857

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Aetna,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D2191060 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on July 29, 2020. 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.