Organization
WESTERN RADIOLOGY ASSOCIATES
Active
Organization
WESTERN RADIOLOGY ASSOCIATES
Active
Other names
Via Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GANAL (CONTROLLER)
(206) 366-2513
Entity
Organization
Contact information
Practice address
11011 MERIDIAN AVE N STE 101, SEATTLE, WA 98133-8967
(206) 366-1011
(206) 306-1019
Mailing address
11011 MERIDIAN AVE N STE 101B, SEATTLE, WA 98133-8967
(206) 365-4100
(206) 368-6898
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
UBI 600000985
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379016500
OWCP GROUP
WA
01
—
55900
GROUP PIN, L&I
WA
05
—
7822109
—
WA
01
—
WE4663
REGENCE
WA
Enumeration date
08/31/2006
Last updated
03/25/2019
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