Organization
MEDICAL IMAGING NORTHWEST, LLP
Active
Organization
MEDICAL IMAGING NORTHWEST, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R LEVINE MD (CHAIRMAN EXECUTIVE COMMITTEE)
(253) 841-4353
Entity
Organization
Contact information
Practice address
11212 SUNRISE BLVD E, SUITE 200, PUYALLUP, WA 98374-8847
(253) 841-4353
(253) 581-5698
Mailing address
7424 BRIDGEPORT WAY W, SUITE 103, LAKEWOOD, WA 98499-8120
(253) 841-4353
(253) 581-5698
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7817505
—
WA
Enumeration date
03/16/2007
Last updated
11/07/2007
Update your record
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