Organization
RADIA INC P S
Active
Other names
Radia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BART P. KEOGH MD (PRESIDENT)
(425) 563-1500
Entity
Organization
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021232
—
AK
01
—
115565
GROUP LABOR & IND.
WA
05
—
272517
—
OR
05
—
7085582
—
WA
05
—
7086796
—
WA
05
—
8078797
—
ID
01
—
8921216
GROUP CRIME VICTIMS
WA
Enumeration date
09/28/2005
Last updated
02/03/2022
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