Organization
SWEDISH MEDICAL CENTER-RADIA ISSAQUAH IMAGING CENTER LLC
Active
Organization
SWEDISH MEDICAL CENTER-RADIA ISSAQUAH IMAGING CENTER LLC
Active
Other names
Swedish Radia
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN L BROWN (VICE PRESIDENT)
(206) 320-3665
Entity
Organization
Contact information
Practice address
2005 NW SAMMAMISH RD, ISSAQUAH, WA 98027-5364
(425) 394-0650
Mailing address
PO BOX 94607, SEATTLE, WA 98124-6907
(425) 394-0650
(425) 394-1721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
602456019
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0143909
L&I GROUP NUMBER
WA
05
—
7126543
—
WA
Enumeration date
05/19/2006
Last updated
12/17/2008
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