NPI 1336348937 · live from the CMS NPI Registry
Aurora Diagnostic Imaging LLC
Radiology, Diagnostic Radiology in Fairbanks, AK. National Provider Identifier 1336348937, active.
NPI record
| NPI | 1336348937 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 3419 Airport Way Ste D, Fairbanks, AK 99709 |
| Practice phone | 907-474-2002 |
| Mailing address | Po Box 751, Girdwood, AK 99587 |
| Enumerated | July 13, 2007 |
| Last updated | September 6, 2007 |
| Authorized official | Robert Bridges, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 4098 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.