# WACN IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Portable X-ray, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336889633
- **Authorized official:** BRUCE JOHNSON (VICE PRESIDENT, SEC.)
- **Authorized official phone:** (303) 589-4149

## Contact information

- **Practice address:** 949 MARKET ST STE 605, TACOMA, WA 98402-3693
- **Practice address phone:** (866) 895-2119
- **Practice address fax:** (952) 915-9597
- **Mailing address:** 755 CLIFF RD E, BURNSVILLE, MN 55337-1545
- **Mailing address phone:** (612) 369-1991

## Taxonomy

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

## Other

- **Enumeration date:** 04/01/2022
- **Last updated:** 03/31/2025