Organization
RADIA INC P S
Active
Other names
Radia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART P KEOGH MD (PRESIDENT)
(425) 563-1500
Entity
Organization
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
601813544
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115565
L&I
WA
01
—
117358
WA LABOR AND INDUSTRIES
WA
05
—
7085582
—
WA
Enumeration date
06/05/2008
Last updated
02/03/2022
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