Organization
MEDICAL IMAGING NORTHWEST, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R LEVINE MD (RADIOLOGIST)
(253) 841-4353
Entity
Organization
Contact information
Practice address
222 15TH AVE SE, PUYALLUP, WA 98372-3754
(253) 841-4353
(253) 581-5698
Mailing address
1201 PACIFIC AVE, SUITE 400, TACOMA, WA 98402-4301
(253) 841-4353
(253) 581-5698
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
C27417
CA
174400000X
Specialist
Primary
MD00011474
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74113
L&I
WA
05
—
8194508
—
AL
Enumeration date
04/11/2006
Last updated
06/08/2011
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