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Russ Reynolds
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in East Wenatchee, Washington
NPI 1821268855

Russ Reynolds is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in East Wenatchee, WA. Russ Reynolds practices in East Wenatchee, WA. The NPI Number for Russ Reynolds is 1821268855 and holds a License No. RT00003044 (Washington).

The current practice location address for Russ Reynolds is 220 25Th St Ne, East Wenatchee, WA and can be reached out via phone at 509-884-0602 and via fax at 509-884-0602.

Location: 220 25Th St Ne, East Wenatchee, WA, 98802-4097
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821268855
Provider Name
Russ Reynolds
Credential
Provider Entity Type
Organization
Address
220 25Th St Ne, East Wenatchee, WA, 98802-4097
Phone Number
509-884-0602
Fax Number
509-884-0602
Provider Enumeration Date
03/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7015290 05 WA
institution
Provider Business Practice Location Address Details
Address
220 25Th St Ne
City
East Wenatchee
State
Washington
Zip
98802-4097
Phone Number
509-884-0602
Fax Number
509-884-0602
person
Provider Business Mailing Address Details
Address
220 25Th St Ne
City
East Wenatchee
State
Washington
Zip
98802-4097
Phone Number
509-884-0602
Fax Number
509-884-0602
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
RT00003044 (Washington)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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