Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Specialty details in registry · Bonney Lake, WA
At a glance
21110 Sr 410 E, Bonney Lake, WA 98391-8457
NPPES record updated Dec 14, 2018. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
21110 Sr 410 E #110Bonney Lake, WA 98391-8457
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QR0200X
- Enumeration date
- Nov 13, 2008
- Record updated
- Dec 14, 2018
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QR0200X · Primary
License reported: 602760002
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
21110 Sr 410 E#110
Bonney Lake, WA 98391-8457
- Phone
- (253) 841-4353
- Fax
- (253) 583-8630
Mailing address
1304 FAWCETT AVE STE 100TACOMA, WA 984021900
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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