institution
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Radiology Clinic/Center in Puyallup, Washington
NPI 1336419514

Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance is a Radiology Clinic/Center based in Tacoma, WA and is specialized in Radiology. Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance practices in Puyallup, WA. The NPI Number for Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance is 1336419514 and holds a License No. 602760002 (Washington).

The current practice location address for Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance is 1450 5Th St Se, Puyallup, WA and can be reached out via phone at 253-841-4353 and via fax at 253-581-5698. You can also correspond with Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance through the mailing address at 1304 FAWCETT AVE STE 100, TACOMA, WA - 98402-1900 (mailing address contact number: 253-761-4200).

Location: 1450 5Th St Se, Puyallup, WA, 98402-1900
institution
Provider Profile Details
NPI Number
1336419514
Provider Name
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance
Credential
Provider Entity Type
Organization
Address
1450 5Th St Se, Puyallup, WA, 98402-1900
Phone Number
253-841-4353
Fax Number
253-581-5698
Provider Enumeration Date
01/05/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0240786 01 WA L&I
7144116 05 WA
institution
Provider Business Practice Location Address Details
Address
1450 5Th St Se
City
State
Zip
98372-4602
Phone Number
253-841-4353
Fax Number
253-581-5698
person
Provider Business Mailing Address Details
Address
1450 5Th St Se
City
State
Zip
98372-4602
Phone Number
253-841-4353
Fax Number
253-581-5698
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
602760002 (Washington)
Definition
Definition to come...
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