Organization
WACN IMAGING LLC
Active
Other names
Professional Portable X-ray, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE JOHNSON (VICE PRESIDENT, SEC.)
(303) 589-4149
Entity
Organization
Contact information
Practice address
949 MARKET ST STE 605, TACOMA, WA 98402-3693
(866) 895-2119
(952) 915-9597
Mailing address
755 CLIFF RD E, BURNSVILLE, MN 55337-1545
(612) 369-1991
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
04/01/2022
Last updated
03/31/2025
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