Organization
DIRECT IMAGING PC
Active
Parent organization
DIRECT IMAGING PC
Other names
Direct Imaging Ambulatory Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIRECT IMAGING PC
Authorized official
DAVE S ATTEBERRY MD (OWNER/MEMBER)
(412) 759-8895
Entity
Organization
Contact information
Practice address
6101 SUMMITVIEW AVE STE 200, YAKIMA, WA 98908-3028
(509) 902-8857
(509) 902-8855
Mailing address
6101 SUMMITVIEW AVE STE 200, YAKIMA, WA 98908-3028
(509) 902-8857
(509) 902-8855
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
426319
L&I CLINIC
WA
01
—
6890698
AETNA
WA
01
—
G9016079
DI CLINIC PTAN
WA
01
—
G9024448
ASC MEDICARE PTAN
WA
Enumeration date
07/29/2020
Last updated
03/26/2024
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