Organization
OLYMPIA IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODGER A LAWTON D.M.D. (PARTNER)
(360) 491-1494
Entity
Organization
Contact information
Practice address
3425 ENSIGN RD NE, STE320, OLYMPIA, WA 98506-5425
(360) 491-1494
Mailing address
3425 ENSIGN RD NE, STE320, OLYMPIA, WA 98506-5425
(360) 491-1494
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
602643
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07-00029280
CITY LICENSE
WA
Enumeration date
05/10/2007
Last updated
08/22/2020
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