# PROLIANCE SURGEONS, INC., P.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seattle Orthopedic Center MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003441783
- **Authorized official:** MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
- **Authorized official phone:** (206) 838-2580

## Contact information

- **Practice address:** 2409 N 45TH ST, SEATTLE, WA 98103-6907
- **Practice address phone:** (206) 633-8100
- **Practice address fax:** (206) 632-1657
- **Mailing address:** 2409 N 45TH ST, SEATTLE, WA 98103-6907
- **Mailing address phone:** (206) 633-8100
- **Mailing address fax:** (206) 632-1657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 05/26/2021