New Image Salon, LLC
Prosthetic/Orthotic Supplier in Kennewick, WA. Organization (NPI-2).
NPI number1609019017
StatusActive
Last updated in NPPESMay 10, 2012
Details
- NPI
- 1609019017
- Entity type
- Organization (NPI-2)
- Legal business name
- New Image Salon, LLC
- Organization subpart
- No
- Enumeration date
- Apr 14, 2009
- Last updated
- May 10, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
1360 N Louisiana StSuite D
Kennewick, WA 99336-7171
Phone 509-735-4247
Mailing address
1360 N Louisiana StSuite D
Kennewick, WA 99336-7171
Phone 509-735-4247
Authorized official
Debra Lynn Coomes
Owner
5097354247
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