Organization · Type 2 NPI

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance

Radiology Clinic/Center · Bonney Lake, WA

NPI number 1699063354 Active

Practice location

10004 204th Ave E, Suite 2600
Bonney Lake, WA 98391-6535

Fax (253) 581-5698

Mailing address

1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center Primary 261QR0200XNone listed

Radiology Clinic/Center: Definition to come...

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About NPI 1699063354

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance's National Provider Identifier is 1699063354, issued on Jul 15, 2011. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Bonney Lake, WA. The record was last updated on Dec 14, 2018.