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Organization

EXCEL IMAGING LLC

Active
Other names
South Center Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
BETH LUPO (PROVIDER RELATIONS SUPERVISOR)
(586) 412-4423
Entity
Organization

Contact information

Practice address
415 BAKER BLVD, SUITE 100, TUKWILA, WA 98188
(206) 439-8828
(206) 439-8878
Mailing address
415 BAKER BLVD, SUITE 110, TUKWILA, WA 98188
(206) 439-8828
(206) 439-8878

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7119183
WA
Enumeration date
11/02/2006
Last updated
08/22/2020
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