| Dr Loulie Bradley Molloy, MD | |
|
19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | |
| (425) 563-1500 | |
| (425) 563-1501 |
| Full Name | Dr Loulie Bradley Molloy |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 19020 33rd Ave W Ste 210, Lynnwood, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720002496 | NPI | - | NPPES |
| 0407083 | Other | WA | LNI-SEATTLE RADIOLOGY |
| 0279542 | Other | WA | LNI-RADIA REST OF WA |
| 2077576 | Medicaid | WA | |
| 0377842 | Other | WA | LNI-SWEDISH RADIA EDMONDS |
| 0377840 | Other | WA | LNI-RADIA KING COUNTY |
| 0377848 | Other | WA | LNI-EVERGREEN RADIA |
| 0414953 | Other | WA | LNI-SOUTH SOUND RADIOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD60211225 (Washington) | Primary |
| Entity Name | The Huntington Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154467181 PECOS PAC ID: 4587631601 Enrollment ID: O20040923000968 |
| Entity Name | Radiant Imaging Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437583200 PECOS PAC ID: 7113145558 Enrollment ID: O20140827001815 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Loulie Bradley Molloy, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 | Dr Loulie Bradley Molloy, MD 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 Ph: (425) 563-1500 |
Dr. Patrick T. Hurley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Michael Larson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Brian James Mccallie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Frederick Farzad Kash, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Germaine Richard Johnson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Judson E Threlkeld, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 19020 33rd Ave W Ste 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 | |
Dr. Melissa A. Hayes Balmadrid, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036 Phone: 425-563-1500 Fax: 425-563-1501 |