| NPI | 1164461182 |
|---|---|
| Doing Business As | PROLIANCE EASTSIDE MRI |
| Entity Type | Organization |
| Authorized Contact | LAURA KLEISLE Chief Risk Officer 206-838-2590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2021-05-27 |