Belladonna Breast Imaging Center Pllc

NPI 1033446802 - Clinic/Center - 261QR0206X

NPI Details
NPI 1033446802
Enumeration Date 11/15/2009
Last Updated 10/03/2013
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MARITA B MARITA
Position MEMBER
Phone (888) 846-5527
Fax (607) 324-7615
Practice Location
1810 116TH AVE NE
STE 101
BELLEVUE WA, 98004-3058, US
Phone (888) 846-5527
Fax (607) 324-7615
Business Location
PO BOX 84064
SEATTLE WA, 98124-8464, US
Phone (888) 846-5527
Fax (607) 324-7615
Toxanomy
Taxonomy Code 261QR0206X
License State Washington
License Number MD00021389
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According to our database, Belladonna Breast Imaging Center Pllc NPI is 1033446802, taxonomy code is 261QR0206X and license number is MD00021389, license state is located at Washington. Belladonna Breast Imaging Center Pllc physically located at 1810 116th Ave Ne, Bellevue WA, 98004-3058. NPI Number 1033115704 has the healthcare provider type.

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1033446802 NPI number is provided on an as is basis without warranty of any kind. 1033446802 is maintained by the National Plan & Provider Enumeration System. The contents of Belladonna Breast Imaging Center Pllc are for informational purposes only.