# LYNDEN MEDICAL X-RAY LLC

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

## Provider details

- **NPI number:** 1588775662
- **Authorized official:** MRS. DEANNA B VAN BEEK RT (OWNER TECHNOLOGIST)
- **Authorized official phone:** (360) 360-1237

## Contact information

- **Practice address:** 9310 HAMMER RD, LYNDEN, WA 98264-9530
- **Practice address phone:** (360) 354-5419
- **Practice address fax:** (360) 354-5400
- **Mailing address:** 9310 HAMMER RD, LYNDEN, WA 98264-9530
- **Mailing address phone:** (360) 354-5419
- **Mailing address fax:** (360) 354-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | RT00002493 | WA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020