# CERESCAN CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CERESCAN CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659603744
- **Legal business name:** CERESCAN CORP
- **Authorized official:** JOHN KELLEY (CEO)
- **Authorized official phone:** (720) 242-9081

## Contact information

- **Practice address:** 1015 8TH AVE N, SEATTLE, WA 98109-3504
- **Practice address phone:** (720) 242-9081
- **Practice address fax:** (866) 433-3965
- **Mailing address:** 990 S LOGAN ST, DENVER, CO 80209-4130
- **Mailing address phone:** (720) 242-9081
- **Mailing address fax:** (866) 433-3965

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | WN-M0304-1 | WA | Yes |

## Other

- **Enumeration date:** 02/01/2010
- **Last updated:** 02/01/2010