What TRA Medical Imaging does

TRA Medical Imaging is a privately held, multi-site diagnostic imaging provider headquartered in Tacoma, Washington, operating across the South Puget Sound region. Founded in 1918, the practice delivers a comprehensive portfolio of imaging modalities including MRI (including 1.2T Hitachi Oasis Open MRI), CT (including cardiac calcium scoring, low-dose CT lung screening, colonography, CCTA, and walk-in non-contrast), 3D mammography (digital breast tomosynthesis), PET/CT (including PSMA PET/CT for prostate cancer and Amyloid PET/CT for Alzheimer's), ultrasound (general, breast, and elastography), X-ray, fluoroscopy, bone densitometry (DEXA), and image-guided interventional radiology and neurointerventional surgery procedures including TEMMA migraine embolization. The sub-brand TRA Endovascular provides minimally invasive vein and vascular treatments.

The organization serves both referred patients from healthcare providers and self-referred patients (for preventive screenings such as screening mammograms), operating physical imaging centers in Tacoma (Union Avenue, including a dedicated Open MRI site), Olympia, Gig Harbor, and Lakewood (relocating to Lakewood Town Center in 2026). Patient-facing digital infrastructure includes the Patient Connection Portal (built on MedInformatix) and the TRA Mobile App for iOS and Android, supporting scheduling, check-in, and results access. Referring physicians use TRA/DINW PACS Portal and MedInformatix MI Provider Portal for order management and image review.

TRA generates revenue primarily through professional services billing for diagnostic imaging procedures, with charges billed to insurance carriers and patients. Pricing varies by modality and service tier; self-pay rates are published for select services (e.g., $70 for BodyLogic DEXA composition, $223.80 for low-dose CT lung screening, $179.40 for cardiac calcium scoring as screening), with financial counseling and interest-free payment plans offered for higher-cost procedures. The practice holds ACR accreditation across facilities and Great Place to Work certification. According to Definitive Healthcare's 2024 Atlas All-Payor Claims analysis, TRA ranked #1 in the U.S. among imaging centers by ultrasound procedures performed, with a 6.3% national share.

Name

TRA Medical Imaging

Legal name

TRA Medical Imaging

Website

https://tranow.com

Company type

Private

Founded year

1918

Operating status

Operating

Headcount range

101–250 employees

Short description

TRA Medical Imaging is a privately held, multi-site diagnostic imaging practice founded in 1918, serving the South Puget Sound region of Washington with a full suite of imaging modalities, interventional procedures, and sub-specialized radiology, ranked #1 in the U.S. for ultrasound procedures.

Ownership category

akta.pro rank

Product category

Diagnostic Medical Imaging

NAICS

Diagnostic Imaging Centers (621512)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Radiology Imaging Centers (X-ray/CT/MRI/Ultrasound) (HLAFAKAA)

akta.pro secondary industries

Advanced Imaging & Specialty Radiology Centers (PET/CT, Nuclear Medicine, Interventional Radiology) (HLAFAKAB), Teleradiology Platforms & Reading Workflow (HLACALAK)

Keywords

• Diagnostic imaging services
• Outpatient radiology
• Interventional radiology
• Breast imaging services
• Medical imaging centers

Headquarters

HQ city

Tacoma

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Diagnostic Imaging Services: TRA Medical Imaging generates revenue through providing diagnostic medical imaging services including MRI, CT, PET/CT, mammography, ultrasound, X-ray, and interventional procedures. Services are billed to patients and/or their insurance providers. The organization handles insurance authorizations and prior approvals, offers payment plans for high-cost procedures like PET/CT, and provides transparent self-pay pricing for uninsured or non-covered services.

Pricing tiers

Go-to-market motion1 record

Distribution channels5 records

Marketing channels7 records

Core offering

TRA Medical Imaging is a local partnership of sub-specialized radiologists that provides diagnostic and interventional medical imaging services across multiple outpatient centers in the South Puget Sound region of Washington State. Core offerings include MRI, CT, PET/CT, mammography, ultrasound, X-ray, fluoroscopy, bone densitometry (DEXA), breast biopsy, interventional radiology, and neurointerventional surgery, supported by patient-facing digital tools such as the TRA Mobile App and Patient Connection Portal.

Product overview

TRA Medical Imaging is a diagnostic imaging provider offering a comprehensive portfolio of imaging services across the South Puget Sound region. The core offering is a broad range of imaging modalities — MRI (including open and breast MRI), CT (general, cardiac, lung screening, colonography, walk-in non-contrast), mammography (screening and diagnostic with 3D tomosynthesis), PET/CT (including PSMA and Amyloid specialty scans), ultrasound (general, breast, elastography), X-ray, fluoroscopy, and bone densitometry (DEXA) — supported by interventional radiology and neurointerventional surgery procedures. Specialized sub-brands include TRA Endovascular (vein and vascular treatments, including UFE and genicular artery embolization), TEMMA (migraine embolization), and BodyLogic (body composition analysis). Patient-facing digital tools include the TRA Mobile App and Patient Connection Portal (MedInformatix-based). Services are delivered at multiple outpatient locations (Tacoma, Olympia, Gig Harbor, Lakewood, Union Avenue Open MRI) and the Carol Milgard Breast Center. The practice was ranked #1 in the U.S. for ultrasound procedures in 2024 (6.3% of national volume per Definitive Healthcare data).

Differentiator

Problem solved

Functional benefit

Brands

• TRA Endovascular: Specialized division providing minimally invasive vein and vascular treatments including varicose vein therapy, uterine fibroid embolization, prostate artery embolization, and genicular artery embolization.

Products and services

• MRI Magnetic Resonance Imaging service using 1.5T, 1.5T Large Bore, and 1.2T Open MRI scanners. Includes general MRI and specialized Breast MRI for patients requiring non-invasive imaging without ionizing radiation.
• CT Scan Computed Tomography scanning using X-ray technology and computer processing to produce detailed cross-sectional images of lungs, bones, soft tissues, and blood vessels for diagnostic purposes.
• Mammography Digital breast imaging using 3D mammography (digital breast tomosynthesis) combined with 2D digital mammography. Includes screening mammograms (no referral required) and diagnostic mammograms for evaluating breast problems.
• PET/CT Combined Positron Emission Tomography and CT imaging combining metabolic (PET) and structural (CT) imaging for cancer, heart disease, and brain disorder diagnosis. Features open-bore scanner accommodating patients up to 430 pounds.
• Ultrasound Non-invasive, radiation-free imaging using high-frequency sound waves for real-time images of internal organs and blood flow. Includes general ultrasound, Breast Ultrasound, and Ultrasound Elastography.
• X-Ray Standard X-ray imaging using low-dose ionizing radiation for diagnosing injuries, infections, and other medical conditions, available as a walk-in service.
• Breast Biopsy Minimally invasive tissue sampling procedures for breast abnormalities, including Ultrasound-Guided, MRI-Guided, Stereotactic 3D-Guided biopsies, Wire Localization, and Cyst Aspiration.
• Interventional Radiology Image-guided minimally invasive procedures including IV access, drainage/tube management, biopsies, pain management, spinal interventions, arterial/venous interventions, and interventional oncology, associated with less risk, pain, cost, and shorter recovery than open surgery.
• Neurointerventional Surgery Diagnosis and treatment of nervous system, spine, head, and neck abnormalities using imaging and minimally invasive treatments for aneurysm, stroke, and vascular malformations, provided by fellowship-trained radiologists.
• Vein & Vascular Non-surgical treatments for venous insufficiency including varicose veins, spider veins, critical limb ischemia, varicocele, benign prostatic hyperplasia, uterine fibroids, and pelvic venous congestion syndrome, delivered through the TRA Endovascular sub-brand.
• Fluoroscopy Continuous X-ray imaging for real-time visualization of internal body structure movement during examinations and procedures.
• Bone Densitometry (DEXA) Enhanced X-ray technique measuring bone loss and diagnosing osteoporosis, the most accurate bone measurement available, taking approximately 15 minutes per scan.
• BodyLogic Scan DEXA-based advanced body composition analysis measuring bone density, lean mass, and fat mass including visceral fat percentage, with comparison to NHANES database and Rate-of-Change reports for tracking. Self-pay at $70.
• TRA Mobile App Mobile application for iOS and Android offering appointment scheduling, navigation, and access to imaging results for patients.
• Patient Connection Portal Secure, mobile-friendly web portal for managing radiology care from PC, tablet, or mobile device, enabling scheduling/canceling appointments, check-in, form completion, and viewing imaging results. Built on MedInformatix platform.
• Pathways to Care Post-biopsy support program led by an Advanced Registered Nurse Practitioner (ARNP) providing dedicated result-review appointments, personalized information, resources, referrals, financial counseling, and interpretive services for cancer patients.

Quantifiable outcome

• Ranked #1 imaging center in U.S. by ultrasound procedures with 6.3% market share
• +2 more outcomes

Named customers1 record

Segments1 record

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature8 records

Partnerships

One partnership is on record.

• Tacoma-Pierce Athletic CommissioncoreStrategic or Co-development Partner · 22 December 2025TRA Medical Imaging has partnered with the Tacoma-Pierce Athletic Commission to provide free or reduced-cost diagnostic imaging for student athletes in Pierce County facing financial hardship. The initiative aims to eliminate financial barriers to injury evaluation and treatment for young athletes, especially amid changing health coverage conditions. This community-focused partnership demonstrates TRA's commitment to supporting local youth through accessible healthcare services.

Scale indicators2 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• RadNet: Largest outpatient diagnostic imaging chain in the United States with hundreds of centers. While national in scale rather than regional like TRA, it operates the same core business model (multi-modality outpatient imaging, sub-specialized reads) and competes for the same patient and payer base.
• HCA Healthcare: Largest U.S. for-profit hospital system, operating extensive outpatient imaging capacity alongside inpatient services. Represents a major competitive threat to TRA from hospital-owned imaging and embedded referral channels.
• Tenet Healthcare: Major U.S. hospital operator with significant outpatient imaging and ambulatory presence through USPI. Competes with TRA for imaging referrals and physician relationships within overlapping service areas.

Direct peers

• RAYUS Radiology: Multi-state diagnostic imaging provider offering MRI, CT, PET/CT, mammography, ultrasound, and interventional services across the U.S. Most direct comparable to TRA in service mix, modality breadth, and physician-led practice model.
• SimonMed Imaging: One of the largest outpatient imaging networks in the U.S., offering MRI, CT, ultrasound, mammography, X-ray, and specialty imaging. Directly comparable to TRA in modality portfolio and self-pay/preventive screening offerings.
• Akumin: Multi-modality outpatient imaging provider operating fixed-site centers across the U.S., offering MRI, CT, PET/CT, ultrasound, mammography, and related services. Comparable business model and modality mix to TRA.
• US Radiology Specialists: Multi-state radiology partnership network combining owned imaging centers and contracted physician services. Comparable to TRA's hybrid model of operating imaging centers while offering teleradiology/professional services.
• Envision Radiology: Multi-state outpatient diagnostic imaging provider offering MRI, CT, ultrasound, mammography, X-ray, and interventional procedures. Comparable modality breadth and outpatient imaging-center model to TRA.

Regional players

• MedQuest Radiology: Regional outpatient imaging operator with multi-modality centers. Comparable regional imaging-center operator serving local markets with the same modality mix as TRA.
• Inland Imaging: Pacific Northwest-based diagnostic imaging group headquartered in Spokane, WA. Operates fixed-site centers across eastern Washington and offers a similar multi-modality portfolio to TRA, including teleradiology services.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Instagraminstagram.com/tramedicalimaging
• Xx.com/TRAImaging

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles5 records

Subsidiaries2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about TRA Medical Imaging