NPI 1295032910 · live from the CMS NPI Registry
Kodiak Board Certified Radiology, LLC
Radiology, Diagnostic Radiology in Kodiak, AK. National Provider Identifier 1295032910, active.
NPI record
| NPI | 1295032910 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1915 E Rezanof Dr, Kodiak, AK 99615 |
| Practice phone | 907-486-9581 |
| Mailing address | 3427 E Tudor Rd Ste A, Anchorage, AK 99507 |
| Enumerated | February 15, 2011 |
| Last updated | March 8, 2011 |
| Authorized official | Kay Bias, Executive Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 6152 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.