# PROLIANCE SURGEONS, INC., P.S.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** PROLIANCE MRI NORTH PUGET SOUND
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184140477
- **Authorized official:** CORI M. PLEASANT (MGR PROVIDER RELATIONS/ENROLLMENT)
- **Authorized official phone:** (206) 838-2585

## Contact information

- **Practice address:** 6808 220TH ST SW STE 105, MOUNTLAKE TERRACE, WA 98043-2187
- **Practice address phone:** (425) 967-6490
- **Practice address fax:** (425) 967-6495
- **Mailing address:** 7320 216TH ST SW STE 320, EDMONDS, WA 98026-8006
- **Mailing address phone:** (425) 673-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | NULL | — |
| 2471M1202X | Magnetic Resonance Imaging Radiologic Technologist | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | 601484763 | WA | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/17/2017
- **Last updated:** 08/22/2022