| Puyallup Radiological Assocs, Inc. | |
|
800 S Meridian Suite B Puyallup WA 98371-6995 | |
| (253) 845-9511 | |
| (253) 840-3513 |
| Full Name | Puyallup Radiological Assocs, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 800 S Meridian, Puyallup, Washington |
| Authorized Official Name and Position | Coty A Mcreynolds (BOOKKEEPER) |
| Authorized Official Contact | 2538459511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puyallup Radiological Assocs, Inc. 800 S Meridian Suite B Puyallup WA 98371-6995 Ph: (253) 845-9511 | Puyallup Radiological Assocs, Inc. 800 S Meridian Suite B Puyallup WA 98371-6995 Ph: (253) 845-9511 |
| NPI Number | 1821097429 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821097429 | NPI | - | NPPES |
| 0040900 | Other | WA | DEPT LABOR & INDUSTRIES |
| 7860307 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Washington) | Primary |
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