Organization
MEDICAL IMAGING NORTHWEST - GOOD SAMARITAN HOSPITAL IMAGING ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS P SEILER MD (PRESIDENT)
(253) 761-4200
Entity
Organization
Contact information
Practice address
1450 5TH ST SE, #4600, PUYALLUP, WA 98372-4602
(253) 841-4353
(253) 581-5698
Mailing address
1304 FAWCETT AVE STE 100, TACOMA, WA 98402-1900
(253) 761-4200
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
602760002
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0240786
L&I
WA
05
—
7144116
—
WA
Enumeration date
01/05/2012
Last updated
12/14/2018
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