Organization
TRI CITY RADIOLOGY INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN K BRESNAHAN PHR (ADMINISTRATOR)
(509) 374-4030
Entity
Organization
Contact information
Practice address
7221 W DESCHUTES AVE, STE A, KENNEWICK, WA 99336-7807
(509) 374-4030
(509) 374-8690
Mailing address
7221 W DESCHUTES AVE, STE A, KENNEWICK, WA 99336-7807
(509) 374-4030
(509) 374-8690
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14228
L & I
WA
05
—
7823107
—
WA
Enumeration date
08/18/2006
Last updated
10/20/2010
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