Wacn Imaging LLC is a Physiological Laboratory (organization) practicing in Tacoma, Washington. The National Provider Identifier (NPI) is #1972239416, which was assigned on July 27, 2022, and the registration record was last updated on March 31, 2025. The practitioner's main practice location is at 2420 S Union Ave Ste 120, Tacoma, WA 98405-1322; the contact telephone number is 8668952119. The primary taxonomy of Wacn Imaging LLC is Physiological Laboratory (293D00000X). The authorized official for Wacn Imaging LLC is Bruce Allen Johnson (Director).
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
NPI | 1972239416 |
Entity Type | Organization |
Organization Name | WACN IMAGING LLC |
Provider Name | WACN IMAGING LLC |
Practice Address |
2420 S Union Ave Ste 120 Tacoma WA 98405-1322 |
Practice Telephone | 8668952119 |
Mailing Address |
3825 N Lafayette St Denver CO 80205-3316 |
Mailing Telephone | 8668952119 |
Certification Date | 2025-03-31 |
Enumeration Date | 2022-07-27 |
Last Update Date | 2025-03-31 |
Is Organization Subpart | N |
Official Name | BRUCE ALLEN JOHNSON |
Official Title | DIRECTOR |
Telephone | 3035894149 |
Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
---|---|---|---|---|---|---|
Y | 293D00000X | Physiological Laboratory |
Other Organization Name | Type |
---|---|
Professional Portable X-Ray, Inc | Doing Business As Name |
WACN LLC | Other Name |
Address | Telephone | Fax |
---|---|---|
949 Market St Ste 605, Tacoma, WA 984023693 | 8664839729 |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Wacn Imaging LLC | 949 Market St Ste 605, Tacoma, WA 98402-3693 | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2022-04-01 |
Code | 293D00000X |
Taxonomy | Physiological Laboratory |
Classification | Physiological Laboratory |
Grouping | Laboratories |
Definition: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
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Prisma Health Imaging Centers LLC | 104 Ellett Rd, Chapin, SC 29036-8604 | Physiological Laboratory | 2025-07-17 |
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Btdi Jv, LLP | 922 S 10th St Ste 210, Waco, TX 76706-1388 | Physiological Laboratory | 2024-10-09 |
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Street Address |
3825 N LAFAYETTE ST |
City | DENVER |
State | CO |
Zip Code | 80205-3316 |
Country | US |
Provider Name | Address | Taxonomy | Enumeration Date |
---|---|---|---|
Braden K. Mogler | 3825 N Lafayette St, Denver, CO 80205-3316 | Internal Medicine Physician | 2014-03-28 |
Megan L Faga | 3825 N Lafayette St, Denver, CO 80205-3316 | Adult Health Nurse Practitioner | 2013-08-22 |
Michael Griffin | 3825 N Lafayette St, Denver, CO 80205-3316 | Registered Nurse | 2025-09-03 |
John Nicholas Sutton | 3825 N Lafayette St, Denver, CO 80205-3316 | Physician Assistant | 2021-06-11 |
Professional Portable Radiologic Services Inc. | 3825 N Lafayette St, Denver, CO 80205-3316 | Physiological Laboratory | 2021-09-17 |
Morgan Rebecca Owens | 3825 N Lafayette St, Denver, CO 80205-3316 | Family Nurse Practitioner | 2024-03-04 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |