# GRAYS HARBOR CARDIOVASCULAR IMAGING, LLC

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

## Provider details

- **NPI number:** 1184950842
- **Authorized official:** DR. LOREN EARNEST LAYBOURN M.D. (MEMBER)
- **Authorized official phone:** (360) 533-6447

## Contact information

- **Practice address:** 1020 ANDERSON DR STE 205, ABERDEEN, WA 98520-1055
- **Practice address phone:** (360) 533-6447
- **Practice address fax:** (360) 538-0807
- **Mailing address:** 1020 ANDERSON DR STE 205, ABERDEEN, WA 98520-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/29/2009
- **Last updated:** 03/09/2010