NPI 1306011473 · live from the CMS NPI Registry
Pacific Northwest Radiology LLC
Radiology, Diagnostic Radiology in Cordova, AK. National Provider Identifier 1306011473, active.
NPI record
| NPI | 1306011473 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 602 Chase Avenue, Cordova, AK 99574 |
| Practice phone | 907-424-8000 |
| Mailing address | Po Box 26570, Fresno, CA 93729 |
| Enumerated | April 29, 2008 |
| Last updated | April 29, 2008 |
| Authorized official | Burt Loessberg, Ceo |
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.