Organization
COAST IMAGING SOUTH PLLC
Active
Other names
Coast Imaging South PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY CLEMENS (AO)
(253) 386-3607
Entity
Organization
Contact information
Practice address
1519 3RD ST SE STE 103, PUYALLUP, WA 98372-3742
(425) 386-3607
Mailing address
8012 112TH STREET CT E STE 120, PUYALLUP, WA 98373-7856
(425) 386-3607
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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