REAL TIME II LLC NPI 1225218209

NPI Information

NPI: 1225218209
Provider Name: REAL TIME II LLC
Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
1700 E BOGARD RD # 101
WASILLA, AK
ZIP 99654
Phone: (907) 357-2158
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REAL TIME II LLC is a diagnostic ultrasound radiology in Wasilla, AK. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. REAL TIME II LLC NPI is 1225218209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1700 E BOGARD RD # 101
WASILLA, AK
ZIP 99654-563
Phone: (907) 357-2158
Fax: (907) 357-5849

The provider's authorized official is Gretchen Lee Blume .
The authorized official title is Owner, Sonographer and has the following contact phone number (907) 357-2158.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 12/4/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085U0001X	Radiology	Diagnostic Ultrasound			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	K152269	MEDICARE PIN	ALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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