Organization
RIVERSIDE PORTABLE X-RAY & EKG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRI L DELNEGRO (OFFICE MANAGER)
(360) 734-6849
Entity
Organization
Contact information
Practice address
4621 MORGAN ST, BELLINGHAM, WA 98229-5239
(360) 734-6849
(360) 671-2602
Mailing address
PO BOX 29183, BELLINGHAM, WA 98228-1183
(360) 734-6849
(360) 671-2602
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
XT00000006
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
362715001
GROUP HEALTH PROVIDER NUM
WA
05
—
7072630
—
WA
05
—
8031783
—
WA
Enumeration date
11/02/2005
Last updated
03/28/2013
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