Organization · Type 2 NPI

The Carol Milgard Breast Center

Mammography Clinic/Center · Tacoma, WA

NPI number 1063661098 Active

Practice location

4525 South 19th Street
Tacoma, WA 98405-1106

Call (253) 761-4200 Map

Fax (253) 761-4201

Mailing address

PO Box 1535
Tacoma, WA 98401-1535

Specialties and licenses

Taxonomy	Code	License
Mammography Clinic/Center Primary	261QR0206X	None listed

Mammography Clinic/Center: Definition to come...

NPI record

NPI: 1063661098
Entity type: Organization (Type 2)
Issued: Sep 15, 2008
Last updated: Sep 1, 2023
Status: Active

Other names

<unavail>
Carol Milgard Breast Center · other name
Carol Milgard Breast Center · other name

Authorized official

Kirsten Maxwell
Revenue Cycle Manager
(253) 680-3564

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1063661098

The Carol Milgard Breast Center's National Provider Identifier is 1063661098, issued on Sep 15, 2008. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in Tacoma, WA. The record was last updated on Sep 1, 2023.