NPI 1902090103
Enhanced Medical Imaging of Coos Bay LLC
Practice location
- Address
- 2650 N 17th St, Coos Bay, OR 97420-2134
- Phone
- (541) 267-5411
- Fax
- (541) 267-4898
Authorised official
- Name
- Eric Wnuck
- Title
- Ceo
- Phone
- (541) 267-5411
Registered specialties
Physiological Laboratory
Primary
Registry record
- NPI
- 1902090103
- Entity type
- Organization
- NPI issued
- 30 Aug 2007
- Record last updated
- 30 Aug 2007
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.