Organization
MT BAKER IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY MILLAR (DIRECTOR, REVENUE CYCLE)
(360) 788-9004
Entity
Organization
Contact information
Practice address
2930 SQUALICUM PKWY STE 101, BELLINGHAM, WA 98225-1854
(360) 733-0430
(360) 594-4012
Mailing address
PO BOX 24326, SEATTLE, WA 98124-0326
(360) 647-2422
(360) 255-2263
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
602490356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7128143
—
WA
Enumeration date
10/23/2005
Last updated
10/03/2024
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