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Organization
COAST IMAGING SOUTH PLLC
Active
Organization
COAST IMAGING SOUTH PLLC
Active
Other names
Coast Imaging South PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (AO)
(253) 386-3607
Entity
Organization
Contact information
Practice address
1519 3RD ST SE STE 103, PUYALLUP, WA 98372-3742
(425) 386-3607
Mailing address
8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
(425) 386-3607
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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