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FAIRBANKS MEDICAL IMAGING LLC NPI 1528360625


NPI Information

NPI: 1528360625
Provider Name: FAIRBANKS MEDICAL IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
2310 PEGER RD
SUITE 102
FAIRBANKS, AK
ZIP 99709
Phone: (360) 424-6161
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FAIRBANKS MEDICAL IMAGING LLC is a diagnostic radiology radiology in Fairbanks, AK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FAIRBANKS MEDICAL IMAGING LLC NPI is 1528360625. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2310 PEGER RD
SUITE 102
FAIRBANKS, AK
ZIP 99709-305
Phone: (360) 424-6161
Fax: (360) 848-1167

The provider's authorized official is John T Burke .
The authorized official title is Physician and has the following contact phone number (360) 424-6161.

The enumeration date for this NPI number is 11/22/2010 and was last updated on 3/27/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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: 11/14/2023

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