Healthcare Provider Details

I. General information

NPI: 1477534246
Provider Name (Legal Business Name): AUBURN IMAGING PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 01/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 3RD ST NE #300
AUBURN WA
98002-4035
US

IV. Provider business mailing address

PO BOX 25490
FEDERAL WAY WA
98093-2490
US

V. Phone/Fax

Practice location:
  • Phone: 253-886-5307
  • Fax: 253-886-5323
Mailing address:
  • Phone: 253-661-1700
  • Fax: 253-661-4565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PHILIP L LUND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 253-661-1700