| NPI | 1871524827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A STUCKEL Administrative Manager 509-895-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: WA 600031497) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-07-10 |