NPI 1285899021 · live from the CMS NPI Registry
Kodiak Diagnostic Imaging, Professional Corporation
Radiology, Diagnostic Radiology in Kodiak, AK. National Provider Identifier 1285899021, active.
NPI record
| NPI | 1285899021 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1915 E Rezanof Dr, Kodiak, AK 99615 |
| Practice phone | 907-539-8997 |
| Mailing address | 384 Lilly Dr, Kodiak, AK 99615 |
| Enumerated | July 22, 2008 |
| Last updated | July 22, 2008 |
| Authorized official | Carlos Rio, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 4924 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.