| NPI | 1013538230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH A MILLER Chief Operations Officer 360-678-7656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 2085N0700X Radiology Neuroradiology |
| 2085N0904X Radiology Nuclear Radiology | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2022-10-27 |