| NPI | 1124031489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD FRIEST Owner Operator 360-676-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA RT00000048) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |