Registry details
Type
Individual
Primary specialty
Radiology, Diagnostic Radiology
Enumerated
Jul 9, 2013
License(s)
28347 (NE)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 9040 JACKSON AVE | Tacoma, WA 98431-0001 | 770-289-8520 |
| MAILING | 9040A JACKSON AVE | Tacoma, WA 98431-0001 | 770-289-8520 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.