Organization
MEDICAL IMAGING NORTHWEST, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE CHOI CHINN MD (CHAIRMAN EXECUTIVE COMMITTEE)
(253) 841-4353
Entity
Organization
Contact information
Practice address
21110 SR 410 E, SUITE 110, BONNEY LAKE, WA 98391-8457
(253) 841-4353
(253) 583-8630
Mailing address
1201 PACIFIC AVE, SUITE 400, TACOMA, WA 98402-4301
(253) 841-4353
(253) 583-8630
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7817505
—
WA
Enumeration date
05/31/2007
Last updated
12/18/2014
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