# QUALITY MEDICAL IMAGING OF WASHINGTON INC

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

## Provider details

- **NPI number:** 1336404177
- **Authorized official:** MR. ROGER C FASELT (PRESIDENT)
- **Authorized official phone:** (702) 839-1133

## Contact information

- **Practice address:** 23830 PACIFIC HWY S STE 302, KENT, WA 98032-7701
- **Practice address phone:** (866) 508-4870
- **Practice address fax:** (866) 274-0710
- **Mailing address:** 2490 PROFESSIONAL CT, SUITE 110, LAS VEGAS, NV 89128-0835
- **Mailing address phone:** (702) 839-1133
- **Mailing address fax:** (702) 851-1616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | RHL125986 | WA | Yes |

## Other

- **Enumeration date:** 07/09/2012
- **Last updated:** 02/14/2022