Organization
FASTEX ADVANCED MOBILE IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BENITZ RT (OWNER)
(509) 972-8617
Entity
Organization
Contact information
Practice address
411 N 18TH AVENUE, YAKIMA, WA 98902
(509) 972-8617
Mailing address
411 N 18TH AVENUE, YAKIMA, WA 98902
(509) 972-8617
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
RT00005601
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195224
LABOR AND INDUSTRIES
WA
05
—
7127954
—
WA
Enumeration date
02/07/2006
Last updated
09/25/2024
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