Organization
COAST IMAGING NORTH PLLC
Active
Organization
COAST IMAGING NORTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (AUTHORIZED OFFICIAL)
(425) 386-3607
Entity
Organization
Contact information
Practice address
18730 33RD AVE W, LYNNWOOD, WA 98037-4756
(425) 386-3607
(425) 386-3608
Mailing address
8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
(425) 386-3607
(425) 386-3608
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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