Organization
MEDICAL DIAGNOSTIC SPECIALTIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE N THULINE M.D. (PRESIDENT)
(360) 653-5960
Entity
Organization
Contact information
Practice address
3131 SMOKEY POINT DR, SUITE J, ARLINGTON, WA 98223-4711
(360) 653-5960
Mailing address
3131 SMOKEY POINT DR, SUITE J, ARLINGTON, WA 98223-4711
(360) 653-5960
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0067045
LABOR & IND. - THULINE
WA
01
—
0067046
LABOR & IND. STANLEY
WA
05
—
1831205
—
WA
01
—
R12468
BLUE CROSS - THULINE
WA
01
—
R23416
BLUE CROSS - STANLEY
WA
Enumeration date
12/11/2006
Last updated
08/22/2020
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