Organization
PULASKI RADIOLOGISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH WASHINGTON (VP)
(703) 650-2907
Entity
Organization
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8301
(540) 994-8333
Mailing address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8301
(540) 994-8333
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487643557
—
VA
01
—
DD6591
RR MEDICARE
—
Enumeration date
10/20/2005
Last updated
08/30/2007
Update your record
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