| Organization Name: | MEDICAL IMAGING NORTHWEST, LLP |
| NPI Number: | 1518920206 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREW R LEVINE (RADIOLOGIST) |
| Mailing Address: | 222 15th Ave Se Puyallup |
| State: | WA US |
| Postal Code: | 983723754 |
| Phone Number: | 2538414353 |
| Fax Number: | 2535815698 |
| NPI Enumeration Date: | 04/11/2006 |
| NPI Last Update Date: | 06/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 04/13/2006 |
| NPI Reactivation Date: | 04/26/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | C27417 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |