NPI 1659580116 · live from the CMS NPI Registry
Pacific Northwest Radiology
Radiology, Diagnostic Radiology in Kodiak, AK. National Provider Identifier 1659580116, active.
NPI record
| NPI | 1659580116 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1915 E Rezanof Dr, Kodiak, AK 99615 |
| Practice phone | 907-486-3281 |
| Mailing address | Po Box 26570, Fresno, CA 93729 |
| Enumerated | May 22, 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.