| NPI | 1811005861 |
|---|---|
| Doing Business As | BREAST DIAGNOSTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN T BLACKWELDER President 253-735-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA 602300908) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2014-07-17 |