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Contact Information

MERIDIAN BONE DENSITY SPECIALIST
11019 CANYON RD E
PUYALLUP, WA98373-3001
 Phone: 253-536-2972
 Fax: 253-826-4558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Bone Densitometry Radiologic Technologist

2471B0102X
Indicates primary specialty

NPI Profile & details for MERIDIAN BONE DENSITY SPECIALIST

NPI Number 1083652085
LBN Legal business name MERIDIAN BONE DENSITY SPECIALIST
Authorized official RENEE QUILES - (RADIOLOGIC TECHNOLOGIST - OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # RT00003190
WA Medicaid 7108061
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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