Basic Information
Provider Information
NPI: 1417942269
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: JAMES
MiddleName: E.
NamePrefix: DR.
NameSuffix: I
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 19020 33RD AVE W STE 210
Address2:  
City: LYNNWOOD
State: WA
PostalCode: 980364748
CountryCode: US
TelephoneNumber: 4255631500
FaxNumber: 4255631374
Practice Location
Address1: 19020 33RD AVE W STE 210
Address2:  
City: LYNNWOOD
State: WA
PostalCode: 980364748
CountryCode: US
TelephoneNumber: 4255631500
FaxNumber: 4255631501
Other Information
ProviderEnumerationDate: 09/19/2005
LastUpdateDate: 08/02/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X223796NYN Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
2085R0202XMD60535991WAY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

ID Information
IDTypeStateIssuerDescription
0224418605NY MEDICAID
034252901WAL&I-RADIA REST OF WAOTHER
034253501WAL&I-EVERGREEN RADIAOTHER
204390505WA MEDICAID
034253301WAL&I-SWEDISH RADIA EDMONDSOTHER
034253201WAL&I-RADIA KING COUNTYOTHER
040227801WAL&I-SEATTLE RADIOLOGYOTHER


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