# COAST IMAGING PLLC

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

## Provider details

- **NPI number:** 1811766330
- **Authorized official:** SANDY CLEMENS (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (425) 386-3607

## Contact information

- **Practice address:** 975 INDUSTRY DR, TUKWILA, WA 98188-3413
- **Practice address phone:** (425) 386-3607
- **Practice address fax:** (425) 386-3608
- **Mailing address:** 8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
- **Mailing address phone:** (253) 544-4176
- **Mailing address fax:** (425) 800-9756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 01/30/2024