Organization
PET-CT IMAGING AT SWEDISH CANCER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R HASELEY MD (PRESIDENT)
(206) 215-6487
Entity
Organization
Contact information
Practice address
1221 MADISON ST, STE 150, SEATTLE, WA 98104-3588
(206) 215-6487
(206) 215-3651
Mailing address
PO BOX 26154, SALT LAKE CITY, UT 84126-0154
(206) 215-6487
(206) 215-3651
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/14/2006
Last updated
05/08/2025
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