Organization
ALPHA OMEGA SONOGRAPHY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK LACASELLA (MEMBER)
(509) 465-2630
Entity
Organization
Contact information
Practice address
12402 N DIVISION ST, SUITE 205, SPOKANE, WA 99218-1930
(509) 465-2630
(509) 465-2679
Mailing address
12402 N DIVISION ST, SUITE 205, SPOKANE, WA 99218-1930
(509) 465-2679
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/20/2006
Last updated
07/02/2008
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