Organization · Type 2 NPI
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Radiology Clinic/Center · Bonney Lake, WA
NPI number
1760636930
Active
Practice location
21110 Sr 410 E, #110
Bonney Lake, WA 98391-8457
Fax (253) 583-8630
Mailing address
1304 Fawcett Ave Ste 100
Tacoma, WA 98402-1900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center Primary | 261QR0200X | 602760002 |
Radiology Clinic/Center: Definition to come...
Another provider at this address
Other radiology clinic/center providers in Bonney Lake
About NPI 1760636930
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance's National Provider Identifier is 1760636930, issued on Nov 13, 2008. 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.