Organization
GORGE BONE DENSITY TESTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLANN J TATE (OFFICE MANAGER)
(509) 493-1467
Entity
Organization
Contact information
Practice address
1825 E 19TH ST, SUITE 3, THE DALLES, OR 97058-3365
(509) 493-1467
(509) 493-3765
Mailing address
1825 E 19TH ST, SUITE 3, THE DALLES, OR 97058-3365
(509) 493-1467
(509) 493-3765
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286691
—
OR
01
—
7115249
WASHINGTON MEDICAID
WA
01
—
K285400
PACIFIC SOURCE
OR
Enumeration date
08/06/2006
Last updated
09/06/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us