| NPI | 1528267804 |
|---|---|
| Doing Business As | PROVIDENCE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | KATHLEEN NURMI Dir Revenue Cycle Mgmt Swsa 360-493-4081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: WA 602399531) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2008-09-18 |