Organization
TRA-MINW P S
Active
Other names
Tacoma Radiological Associates PS
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA EPSHTEYN (DIRECTOR OF FINANCE)
(253) 761-4200
Entity
Organization
Contact information
Practice address
2502 S UNION AVE, TACOMA, WA 98405-1328
(253) 761-4200
(253) 761-4201
Mailing address
PO BOX 3656, SEATTLE, WA 98124-3656
(866) 231-9211
(253) 761-4201
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40700
LABOR AND INDUSTRIES/DSHS
WA
05
—
7820707
—
WA
01
—
CR0042
RR MEDICARE
WA
01
—
P03231
REGENCE BLUE SHIELD
WA
Enumeration date
11/07/2006
Last updated
09/20/2023
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