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Organization

IRAD MEDICAL IMAGING PC

Active
Other names
Highline Radiologists
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL T RICCI MD (MANAGING PARTNER)
(206) 248-9729
Entity
Organization

Contact information

Practice address
16251 SYLVESTER RD SW, BURIEN, WA 98166-3017
(206) 248-9729
(206) 431-5231
Mailing address
PO BOX 28036, PORTLAND, OR 97228-8036
(877) 746-7096
(559) 455-4017

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7052426
WA
Enumeration date
07/05/2006
Last updated
12/03/2013
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