The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1134153398 |
NPI Entity Type | Organization |
Provider Name | Wesley R Wedner |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 17888 W Big Lake Blvd, Mount Vernon, WA, US |
Provider Mailing Address | Po Box 988, Burlington, WA, US, 982330637 |
Is Sole Proprietor? | No |
Official Name | Wes Wedner |
Official Position | OWNER |
Phone | 360-661-2088 |
Taxonomy Code | |
Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
Classification |
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
Group | |
License No. | 08655 |
License State | WA |
Description | A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
649468 | WA | STERLING PROVIDER NUMBER | 01 |
7095375 | WA | MEDICAID | 05 |
204961204961 | WA | PREMERA PROVIDER NUMBER | 01 |
43340900O2 | WA | GHC PROVIDER ID NUMBER | 01 |
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