PROVIDENCE IMAGING CENTER NPI 1265967137

NPI Information

  • NPI: 1265967137
  • Provider Name: PROVIDENCE IMAGING CENTER
  • Classification: Clinic/Center - 261QR0207X
  • Specialization: Radiology, Mobile Mammography
  • Entity Type: Organization
  • CLIA Number: 02D1002124
  • Address: 3340 PROVIDENCE DR
    ANCHORAGE, AK
    ZIP 99508
  • Phone: (907) 212-3151

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NPI Details

PROVIDENCE IMAGING CENTER is a radiology and mobile mammography clinic center in Anchorage, AK. PROVIDENCE IMAGING CENTER NPI is 1265967137. The provider is registered as an organization entity type.

The provider's business location address is:

3340 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-3151
Fax: (907) 212-5828

The provider's authorized official is Don Anderson .
The authorized official title is Director Reimbursement Administrati and has the following contact phone number (425) 525-5392.

The CLIA number assigned to this NPI record is 02D1002124 - other with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)

The enumeration date for this NPI number is 4/27/2017 and was last updated on 8/10/2018.

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
1261QR0207XClinic/CenterRadiology, Mobile Mammography48375ALASKAYes

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: 3/30/2025

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