Healthcare Provider Details

I. General information

NPI: 1144288226
Provider Name (Legal Business Name): SPOKANE ADVANCED IMAGING INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W 5TH AVE DEPARTMENT OF RADIOLOGY
SPOKANE WA
99204-2803
US

IV. Provider business mailing address

11100 NE 8TH ST SUITE 500
BELLEVUE WA
98004-4465
US

V. Phone/Fax

Practice location:
  • Phone: 509-473-5800
  • Fax:
Mailing address:
  • Phone: 425-637-2991
  • Fax: 425-637-7535

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StateWA

VIII. Authorized Official

Name: MR. SCOTT B HALLIDAY
Title or Position: MEMBER OF OWNER
Credential:
Phone: 425-637-3378