KODIAK DIAGNOSTIC IMAGING PROFESSIONAL CORPORATION NPI 1285899021

NPI Information

NPI: 1285899021
Provider Name: KODIAK DIAGNOSTIC IMAGING, PROFESSIONAL CORPORATION
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1915 E REZANOF DR
KODIAK, AK
ZIP 99615
Phone: (907) 539-8997
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KODIAK DIAGNOSTIC IMAGING, PROFESSIONAL CORPORATION is a diagnostic radiology radiology in Kodiak, AK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. KODIAK DIAGNOSTIC IMAGING, PROFESSIONAL CORPORATION NPI is 1285899021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1915 E REZANOF DR
KODIAK, AK
ZIP 99615-602
Phone: (907) 539-8997

The provider's authorized official is Carlos E Rio .
The authorized official title is President and has the following contact phone number (907) 486-2466.

The enumeration date for this NPI number is 7/22/2008 and was last updated on 7/22/2008.

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	2085R0202X	Radiology	Diagnostic Radiology	4924	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

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