Enhanced Medical Imaging of Coos Bay LLC

NPI #1902090103 in Coos Bay, Oregon

Provider Information

NPI Number: 1902090103
Entity Type: Organization
Organization Name: Enhanced Medical Imaging of Coos Bay LLC
Primary Specialty: Physiological Laboratory
Enumeration Date: Aug 30, 2007
Last Updated: Aug 30, 2007

Practice Location

Address: 2650 N 17TH ST
City: Coos Bay
State: Oregon
ZIP Code: 97420-2134
Phone: (541) 267-5411

Authorized Official

Name: ERIC WNUCK
Title: CEO
Phone: (541) 267-5411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physiological Laboratory	293D00000X	Primary

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