Organization
ADVANCED MEDICAL IMAGING CENTER LLC
Active
Organization
ADVANCED MEDICAL IMAGING CENTER LLC
Active
Other names
SOUTHWEST IMAGING CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUENTIN PHILLIPS II (ADMINISTRATOR)
(360) 883-0885
Entity
Organization
Contact information
Practice address
16821 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0499
(360) 883-0885
(360) 883-0071
Mailing address
16821 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-0499
(360) 883-0885
(360) 883-0071
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104359
—
WA
Enumeration date
10/18/2006
Last updated
08/22/2020
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