NPI 1376762526 · live from the CMS NPI Registry
Pacific Northwest Radiology LLC
Radiology, Diagnostic Radiology in Petersburg, AK. National Provider Identifier 1376762526, active.
NPI record
| NPI | 1376762526 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 103 Fram St, Petersburg, AK 99833 |
| Practice phone | 907-772-4291 |
| Mailing address | Po Box 26570, Fresno, CA 93729 |
| Enumerated | April 25, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Burt Loessberg, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 314344 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.