Organization
NORTHWEST RADIOLOGISTS INC., P.S.
Active
Parent organization
NORTHWEST RADIOLOGISTS INC PS
Other names
Mt. Baker Pain Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWEST RADIOLOGISTS INC PS
Authorized official
STACY MILLAR (DIRECTOR, REVENUE CYCLE)
(360) 788-9004
Entity
Organization
Contact information
Practice address
4029 NORTHWEST AVE, SUITE 301A, BELLINGHAM, WA 98226-9077
(360) 733-0430
(360) 733-0438
Mailing address
4029 NORTHWEST AVE, SUITE 301A, BELLINGHAM, WA 98226-9077
(360) 733-0430
(360) 594-4012
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0185434
DLI PROVIDER #
WA
05
—
7122831
—
WA
01
—
8904202
CRIME VICTIMS PROVIDER #
WA
Enumeration date
12/18/2007
Last updated
11/13/2019
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