Organization
EVERETT RADIA LLC
Active
Other names
Everett Radia
Organization subpart
No
Provider details
NPI number
Authorized official
BEN HARMON MD (CEO)
(425) 297-6200
Entity
Organization
Contact information
Practice address
3822 COLBY AVE, EVERETT, WA 98201-4913
(425) 297-6222
(425) 297-6250
Mailing address
3822 COLBY AVE, EVERETT, WA 98201-4913
(425) 297-6200
(425) 297-6250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
602154866
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
154351
GROUP LABOR & INDUSTRIES
WA
05
—
7109416
—
WA
01
—
8935709
GROUP CRIME VICTIMS
WA
Enumeration date
09/28/2005
Last updated
10/25/2010
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