OVERLAKE BREAST MRI – NPI #1003985060
Clinic/Center

OVERLAKE BREAST MRI is an AHC clinic located in BELLEVUE, WA. NPPES has assigned the NPI number 1003985060 to OVERLAKE BREAST MRI on November 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OVERLAKE BREAST MRI” is a dba name, the actual legal business name for this organization is OVERLAKE BREAST IMAGING LLC. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for OVERLAKE BREAST MRI below.

NPI Profile for
OVERLAKE BREAST IMAGING LLC

NPI Number
1003985060
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
OVERLAKE BREAST IMAGING LLC
Doing Business As (dba): OVERLAKE BREAST MRI
Primary location
1135 116TH AVE NE
SUITE 255
BELLEVUE, WA 98004
Phone: (425) 467-3754 Fax: (425) 213-1336
Mailing address
19401 40TH AVE WEST
SUITE 140
LYNNWOOD, WA 98036-4612
Phone: (425) 771-8161 Fax: (425) 771-7929
Organization Subpart
No
Authorized Official
MARK JONES
CO-MANAGER
Phone: (425) 771-8161
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)		 WA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.