NPI 1245456557 · live from the CMS NPI Registry
Fairbanks Community Imaging, LLC
Radiology, Diagnostic Radiology in Fairbanks, AK. National Provider Identifier 1245456557, active.
NPI record
| NPI | 1245456557 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1314 22nd Ave., Fairbanks, AK 99701 |
| Practice phone | 907-563-3700 |
| Mailing address | 4100 Lake Otis Pkwy Ste 309, Anchorage, AK 99508 |
| Enumerated | April 17, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | John Mccormick, Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.