Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Seattle Orthopedic Center MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2580
Entity
Organization
Contact information
Practice address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 632-1657
Mailing address
2409 N 45TH ST, SEATTLE, WA 98103-6907
(206) 633-8100
(206) 632-1657
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
05/26/2021
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