| NPI | 1265466189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON Assistant Secretary Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center Radiology, Mammography |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2025-05-09 |