Organization
OMNI IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEYVAN YOUSEFIAN (CEO)
(425) 259-7900
Entity
Organization
Contact information
Practice address
3331 BROADWAY, EVERETT, WA 98201-4472
(425) 259-7900
(425) 252-0993
Mailing address
3331 BROADWAY, EVERETT, WA 98201-4472
(425) 259-7900
(425) 252-0993
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
603126999
WA
2085U0001X
Diagnostic Ultrasound Physician
603126999
WA
247100000X
Radiologic Technologist
603126999
WA
2471S1302X
Sonography Radiologic Technologist
603126999
WA
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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