NPI 1245771864 · live from the CMS NPI Registry
Independence Imaging
Radiology, Diagnostic Radiology in Soldotna, AK. National Provider Identifier 1245771864, active.
NPI record
| NPI | 1245771864 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 291 N Fireweed St, Soldotna, AK 99669 |
| Practice phone | 907-262-6454 |
| Enumerated | March 15, 2017 |
| Last updated | March 15, 2017 |
| Authorized official | Mercy Berg, Office Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 1049853 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.