| NPI | 1003367863 |
|---|---|
| Other Name | PROVIDENCE ST PETER HOSPITAL DIAGNOSTIC IMAGING LACEY |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary For Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2025-05-13 |