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Organization

ULTRASOUND NORTHWEST OF WASHINGTON LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROL TOOMEY (MANAGER)
(702) 645-2606
Entity
Organization

Contact information

Practice address
6925 216TH ST SW, SUITE N, LYNNWOOD, WA 98036
(425) 640-2600
(425) 640-2174
Mailing address
5538 W DUNCAN DR, LAS VEGAS, NV 89130
(702) 645-2606
(702) 645-2874

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
48128770
BLUE CROSS BLUE SHIELD
WA
05
7112519
WA
01
P00083417
RAIL ROAD MEDICARE
WA
Enumeration date
02/01/2006
Last updated
07/12/2007
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