| NPI | 1811942758 |
|---|---|
| Doing Business As | PROVIDENCE IMAGING CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLE QUINN Payor Credentialing Manager 425-525-6715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2471C3402X Radiologic Technologist, Radiography |
| Additional Taxonomies | 2471B0102X Radiologic Technologist, Bone Densitometry |
| 2471M2300X Radiologic Technologist, Mammography | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2010-12-22 |