Organization
WASHINGTON IMAGING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS GIBSON (CEO)
(425) 454-6258
Entity
Organization
Contact information
Practice address
450 NW GILMAN BLVD, STE. 105, ISSAQUAH, WA 98027-2483
(425) 688-0100
Mailing address
450 NW GILMAN BLVD, STE. 105, ISSAQUAH, WA 98027-2483
(425) 688-0100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
601727123
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7078462
—
WA
01
—
CD3334
RAILROAD MEDICARE
—
Enumeration date
02/21/2006
Last updated
02/19/2010
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