SOUTH CENTER IMAGING – NPI #1720166895
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

SOUTH CENTER IMAGING is a radiologist located in TUKWILA, WA. NPPES has assigned the NPI number 1720166895 to SOUTH CENTER IMAGING on November 02, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTH CENTER IMAGING” is a dba name, the actual legal business name for this organization is EXCEL IMAGING LLC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic 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 SOUTH CENTER IMAGING below.

NPI Profile for
EXCEL IMAGING LLC

NPI Number
1720166895
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
EXCEL IMAGING LLC
Doing Business As (dba): SOUTH CENTER IMAGING
Primary location
415 BAKER BLVD
SUITE 100
TUKWILA, WA 98188
Phone: (206) 439-8828 Fax: (206) 439-8878
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BETH LUPO
PROVIDER RELATIONS SUPERVISOR
Phone: (586) 412-4423
Updated
Identifiers

Identifiers for SOUTH CENTER IMAGING

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA7119183
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.