Organization
SWEDISH RADIA IMAGING CENTER AT EDMONDS LLC
Active
Other names
Swedish Radia Edmonds
Organization subpart
No
Provider details
NPI number
Authorized official
LLOYD STAMBAUGH MD (PRESIDENT)
(425) 563-1500
Entity
Organization
Contact information
Practice address
21700 HIGHWAY 99, EDMONDS, WA 98026-8034
(425) 640-4949
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204088
L&I GROUP NUMBER
WA
05
—
7130792
—
WA
Enumeration date
02/02/2006
Last updated
09/12/2018
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