Organization
DISTINCTIVE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE LADOWSKI (OWNER)
(253) 847-4388
Entity
Organization
Contact information
Practice address
21806 103RD AVENUE CT E, SUITE 201, GRAHAM, WA 98338-8115
(253) 847-4388
(253) 847-9492
Mailing address
21806 103RD AVENUE CT E, SUITE 201, GRAHAM, WA 98338-8115
(253) 847-4388
(253) 847-9492
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
603148564
WA
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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