Organization
SWEDISH RADIA IMAGING CENTER AT EDMONDS LLC
Active
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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