Organization
COLUMBIA BASIN IMAGING PC
Active
Organization
COLUMBIA BASIN IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWANE T BRITTAIN MD (DIRECTOR)
(509) 943-5616
Entity
Organization
Contact information
Practice address
888 SWIFT BLVD, RICHLAND, WA 99352
(509) 943-5616
(509) 943-9272
Mailing address
PO BOX 5230, PASCO, WA 99302-5201
(509) 943-5616
(509) 943-9272
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19100
WORKERS COMP (L&)
WA
05
—
196105
—
OR
01
—
599
GROUP HEALTH NUMBER
WA
05
—
7038102
—
WA
Enumeration date
06/17/2006
Last updated
11/01/2012
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