# FASTEX ADVANCED MOBILE IMAGING

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

## Provider details

- **NPI number:** 1275535247
- **Authorized official:** PAMELA STEPHENS (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (509) 961-3849

## Contact information

- **Practice address:** 106 E E ST, YAKIMA, WA 98901-2312
- **Practice address phone:** (509) 972-8617
- **Practice address fax:** (509) 452-8418
- **Mailing address:** PO BOX 8051, YAKIMA, WA 98908-0051
- **Mailing address phone:** (509) 469-1903
- **Mailing address fax:** (509) 469-1905

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 09/10/2021