TACOMA DIAGNOSTIC IMAGING CENTER LLC NPI 1750704540

NPI Information

NPI: 1750704540
Provider Name: TACOMA DIAGNOSTIC IMAGING CENTER, LLC
Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address: 6004 WESTGATE BLVD
SUITE 210
TACOMA, WA
ZIP 98406
Phone: (253) 752-6630

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NPI Details

TACOMA DIAGNOSTIC IMAGING CENTER, LLC is a dental laboratory in Tacoma, WA. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. TACOMA DIAGNOSTIC IMAGING CENTER, LLC NPI is 1750704540. The provider is registered as an organization entity type.

The provider's business location address is:

6004 WESTGATE BLVD
SUITE 210
TACOMA, WA
ZIP 98406-503
Phone: (253) 752-6630
Fax: (253) 752-1173

The provider's authorized official is Michael J. Giesy .
The authorized official title is Manager/member and has the following contact phone number (253) 752-6630.

The enumeration date for this NPI number is 1/29/2014 and was last updated on 1/29/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	292200000X	Dental Laboratory				Yes

What is NPI?

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This page was last updated on: 11/21/2025

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