PROVIDENCE HEALTH & SERVICES WASHINGTON
PROVIDENCE HEALTH & SERVICES WASHINGTON is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003367863, based in Lacey, WA. It is classified under Diagnostic Radiology Physician.
Getting there
The practice address on file is 4800 COLLEGE ST SE STE E, Lacey, WA 98503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.
- Status
- Approved
- Provider type
- Part B Supplier - Independent Diagnostic Testing Facility (idtf)
- PAC ID
- 7719873496
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Independent Diagnostic Testing Facility (idtf). This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003367863 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Oct 17, 2016 |
| Last updated | May 13, 2025 |
| Status | Active |
| Practice address |
4800 COLLEGE ST SE STE E Lacey, WA 98503 (360) 489-2960 Fax (360) 489-2961 |
| Mailing address |
PO BOX 31001-4110 Pasadena, CA 91110 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 6 | 7 | 8 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 6 | 5 | 8 | 3 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.