Organization
BELLADONNA BREAST IMAGING CENTER PLLC
Active
Organization
BELLADONNA BREAST IMAGING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARITA B ACHESON MD (MEMBER)
(888) 846-5527
Entity
Organization
Contact information
Practice address
1810 116TH AVE NE, STE 101, BELLEVUE, WA 98004-3058
(888) 846-5527
(607) 324-7615
Mailing address
PO BOX 84064, SEATTLE, WA 98124-8464
(888) 846-5527
(607) 324-7615
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00021389
WA
261QR0206X
Mammography Clinic/Center
MD00021389
WA
Other
Enumeration date
11/15/2009
Last updated
10/03/2013
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