Wacn Imaging LLC · Physiological Laboratory

3825 N Lafayette St, Denver, CO 80205-3316

Overview

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.

Provider Information

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

Authorized Official Information

Official Name BRUCE ALLEN JOHNSON
Official Title DIRECTOR
Telephone 3035894149

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y293D00000XPhysiological Laboratory

Other Provider Names

Other Organization NameType
Professional Portable X-Ray, IncDoing Business As Name
WACN LLCOther Name

Secondary Practice Locations

AddressTelephoneFax
949 Market St Ste 605, Tacoma, WA 9840236938664839729

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Wacn Imaging LLC 949 Market St Ste 605, Tacoma, WA 98402-3693Portable X-ray and/or Other Portable Diagnostic Imaging Supplier2022-04-01

Taxonomy Information

Primary Taxonomy

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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Location Information

Street Address 3825 N LAFAYETTE ST
City DENVER
State CO
Zip Code 80205-3316
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Braden K. Mogler 3825 N Lafayette St, Denver, CO 80205-3316Internal Medicine Physician2014-03-28
Megan L Faga 3825 N Lafayette St, Denver, CO 80205-3316Adult Health Nurse Practitioner2013-08-22
Michael Griffin 3825 N Lafayette St, Denver, CO 80205-3316Registered Nurse2025-09-03
John Nicholas Sutton 3825 N Lafayette St, Denver, CO 80205-3316Physician Assistant2021-06-11
Professional Portable Radiologic Services Inc. 3825 N Lafayette St, Denver, CO 80205-3316Physiological Laboratory2021-09-17
Morgan Rebecca Owens 3825 N Lafayette St, Denver, CO 80205-3316Family Nurse Practitioner2024-03-04
True North Health Navigation LLC 3825 N Lafayette St, Denver, CO 80205-3316Urgent Care Clinic/Center2017-03-14
Dispatchhealth Advanced Care LLC 3825 N Lafayette St, Denver, CO 80205-3316Hospitalist Physician2019-05-24
True North Health Navigation LLC 3825 N Lafayette St, Denver, CO 80205-3316Nurse Practitioner2021-08-16
True North Health Navigation LLC 3825 N Lafayette St, Denver, CO 80205-3316Emergency Medicine Physician2013-07-25
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Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

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

Dataset Details

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.