Organization
WASHINGTON IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS L GIBSON (CEO)
(425) 454-6258
Entity
Organization
Contact information
Practice address
1135 116TH AVE NE, STE 260, BELLEVUE, WA 98004-4623
(425) 688-0100
(425) 454-8911
Mailing address
1135 116TH AVE NE, STE 260, BELLEVUE, WA 98004-4623
(425) 688-0100
(425) 454-8911
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7078462
—
WA
01
—
CD3334
RAILROAD MEDICARE
WA
Enumeration date
02/15/2006
Last updated
02/19/2010
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