OrganizationActive
Idalis Inc
NPI 1184640591 · Neurology Physician · Lacey, WA
Provider details
- NPI number
- 1184640591
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Coor, Owner(360) 413-1728
- License
- 06-00027820 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 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
3663 College St Se Ste a
Lacey, WA 98503-3529
Phone: (360) 413-1728
Fax: (360) 413-1669
Street-level locationGet directions
Mailing address
3663 College St Se Ste a
Lacey, WA 98503-3529
Registry dates
- Enumerated
- 2006-07-15
- Last updated
- 2007-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.