Organization
WACN IMAGING LLC
Active
Other names
WACN LLC, Professional Portable X-Ray, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE ALLEN JOHNSON (DIRECTOR)
(303) 589-4149
Entity
Organization
Contact information
Practice address
2420 S UNION AVE STE 120, TACOMA, WA 98405-1322
(866) 895-2119
Mailing address
3825 N LAFAYETTE ST, DENVER, CO 80205-3316
(866) 895-2119
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
03/31/2025
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