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Contact Information

PROLIANCE SURGEONS, INC., P.S.
1101 MADISON ST STE 580
SEATTLE, WA98104-4305
 Phone: 206-400-7625
 Fax: 206-832-0586
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Ultrasound

2085U0001X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Radiology

261QR0200X 74 Radiation Therapy Center
 

Sonography Radiologic Technologist

2471S1302X
Indicates primary specialty

NPI Profile & details for PROLIANCE SURGEONS, INC., P.S.

NPI # 1790325710
LBN Legal business name PROLIANCE SURGEONS, INC., P.S.
Authorized official CORI PLEASANT - (MGR PROVIDER RELATIONS/ENROLLMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2020
Last updated 09/02/2022 - About 4 years ago
Identifiers
WA Medicaid 2166571
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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