# MID-COLUMBIA ULTRASOUND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063296275
- **Authorized official:** CHELSAY MORTON-GARCIA (CEO)
- **Authorized official phone:** (509) 870-0564

## Contact information

- **Practice address:** 5703 W 8TH AVE, KENNEWICK, WA 99336-9390
- **Practice address phone:** (509) 870-0564
- **Mailing address:** 5703 W 8TH AVE, KENNEWICK, WA 99336-9390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 08/21/2023