| NPI | 1467666701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN WOODHAM Owner 253-460-7234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) (Licence: WA 601773535) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |