| NPI | 1265967137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography (Licence: AK 48375) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2025-05-14 |