| NPI | 1073391660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARTH A MILLER Chief Operating Officer 360-678-7656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |