| NPI | 1770574394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L DELNEGRO Office Manager 360-734-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier (Licence: WA XT00000006) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-03-28 |