SOUTHEAST RADIOLOGY CONSULTANTS LLC NPI 1861872657

NPI Information

NPI: 1861872657
Provider Name: SOUTHEAST RADIOLOGY CONSULTANTS LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3260 HOSPITAL DR
JUNEAU, AK
ZIP 99801
Phone: (907) 796-8631
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SOUTHEAST RADIOLOGY CONSULTANTS LLC is a diagnostic radiology radiology in Juneau, AK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. SOUTHEAST RADIOLOGY CONSULTANTS LLC NPI is 1861872657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3260 HOSPITAL DR
JUNEAU, AK
ZIP 99801-808
Phone: (907) 796-8631

The provider's authorized official is Theresa J Shanley .
The authorized official title is Managing Member and has the following contact phone number (907) 321-1953.

The enumeration date for this NPI number is 6/5/2015 and was last updated on 6/5/2015.

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	5533	ALASKA	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	1014647	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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