NPI 1255354270

Out Reach Mobile Imaging

Organisation Sonography Radiologic Technologist Puyallup, WA

Practice location

Address: 11012 Canyon Rd E STE 8, Puyallup, WA 98373-4200
Phone: (253) 921-6613
Fax: (253) 435-1933

Authorised official

Name: Theresa M Trebilcock
Title: Owner
Phone: (253) 921-6613

Registered specialties

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 19683 (WA)

Other Radiologic Technologist providers in Washington →

Registry record

NPI: 1255354270
Entity type: Organization
NPI issued: 25 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.