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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