Organization
PROLIANCE SURGEONS INC., P.S.
Active
Other names
Orthopedic Physician Associates MRI
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA KLEISLE (CHIEF RISK OFFICER)
(206) 838-2590
Entity
Organization
Contact information
Practice address
900 TERRY AVENUE, SUITE 100, SEATTLE, WA 98104-4230
(206) 694-6665
(206) 694-6676
Mailing address
601 BROADWAY FL 6, SEATTLE, WA 98122-5330
(206) 386-2600
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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