Provider Demographics
NPI:1942643390
Name:AUGUSTYN, JOSEPH STEPHEN (RDMS, RVT, RMSK)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:STEPHEN
Last Name:AUGUSTYN
Suffix:
Gender:M
Credentials:RDMS, RVT, RMSK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25114 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-8581
Mailing Address - Country:US
Mailing Address - Phone:206-450-7492
Mailing Address - Fax:206-299-1200
Practice Address - Street 1:25114 13TH AVE S
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-8581
Practice Address - Country:US
Practice Address - Phone:206-450-7492
Practice Address - Fax:206-299-1200
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1313832471S1302X, 2471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
No2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography