| Organization Name: | LYNDEN MEDICAL X-RAY LLC |
| NPI Number: | 1588775662 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEANNA B VAN BEEK (OWNER TECHNOLOGIST) |
| Mailing Address: | 9310 Hammer Rd Lynden |
| State: | WA US |
| Postal Code: | 982649530 |
| Phone Number: | 3603545419 |
| Fax Number: | 3603545400 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0200X |
| License Number: | RT00002493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology |
| Taxonomy Definition: | |