OrganizationActive
Advanced Imaging Northwest, LLC
NPI 1164586921 · Magnetic Resonance Imaging (MRI) Clinic/Center · Mount Vernon, WA
Provider details
- NPI number
- 1164586921
- Entity type
- Organization
- Primary specialty
- Magnetic Resonance Imaging (MRI) Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Thomas Litaker, Cfo(360) 424-2505
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone: (360) 424-4111
Street-level locationGet directions
Mailing address
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Registry dates
- Enumerated
- 2006-12-19
- Last updated
- 2008-02-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.