Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Proliance Surgeons, Inc , P.s.

Organization Diagnostic Radiology Physician · NPI 1548832017

Proliance Surgeons, Inc , P.s. is a Diagnostic Radiology Physician in Puyallup, Washington. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3801 5th St SE Ste 120
Puyallup, WA 98374-2103
Phone: (253) 864-4106
Fax: (253) 864-4143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Magnetic Resonance Imaging (MRI) Clinic/Center (primary) Taxonomy 261QM1200X
Diagnostic Radiology Physician Taxonomy 2085R0202X
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X
Magnetic Resonance Imaging Radiologic Technologist Taxonomy 2471M1202X
Radiology Clinic/Center Taxonomy 261QR0200X

Record details

NPI number1548832017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Kleisle — Chief Risk Officer · (206) 838-2590
Other names Prosports Imaging Nw Mri
NPI enumeratedJuly 14, 2021
Last updated in NPPESJuly 14, 2021
Certification dateJune 17, 2021
Mailing address3801 5th St Se Ste 110, Puyallup, WA 98374-2106

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