KODIAK LIFE DIAGNOSTIC IMAGING INC NPI 1083125355

NPI Information

NPI: 1083125355
Provider Name: KODIAK LIFE DIAGNOSTIC IMAGING, INC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
1915 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 512-9559
Get Directions

KODIAK LIFE DIAGNOSTIC IMAGING, INC is a radiology clinic center in Kodiak, AK. KODIAK LIFE DIAGNOSTIC IMAGING, INC NPI is 1083125355. The provider is registered as an organization entity type.

The provider's business location address is:

1915 E REZANOF DR
KODIAK, AK
ZIP 99615-602
Phone: (907) 512-9559

The provider's authorized official is James Darryl Bise .
The authorized official title is President and has the following contact phone number (907) 512-9559.

The enumeration date for this NPI number is 10/13/2017 and was last updated on 10/13/2017.

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	261QR0200X	Clinic/Center	Radiology	106389	ALASKA	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »