| NPI | 1336390442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Secretary Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2025-05-07 |