Provider Demographics
NPI:1992976021
Name:SPOKANE ADVANCED IMAGING INSTITUTE LLC
Entity type:Organization
Organization Name:SPOKANE ADVANCED IMAGING INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HALLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-637-3378
Mailing Address - Street 1:11100 NE 8TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4472
Mailing Address - Country:US
Mailing Address - Phone:425-637-3378
Mailing Address - Fax:425-637-7535
Practice Address - Street 1:12606 E MISSION AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-3421
Practice Address - Country:US
Practice Address - Phone:509-473-5851
Practice Address - Fax:509-473-5880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology