Alyeska Imaging Center, Inc.

Organization Active NPI Diagnostic Radiology Physician · Palmer, AK

NPI 1306579164 · NPPES record last updated Feb 27, 2025

Key facts

NPI
1306579164
Entity type
Organization (NPI type 2)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
Legal business name
ALYESKA IMAGING CENTER, INC.
Practice address
2480 S Woodworth Loop Ste 140
Palmer, AK 99645-7408
Phone
(907) 746-2929
Fax
(907) 746-6543
NPI assigned
Jul 7, 2022
Organization subpart
No

Authorized official

Name
Roseann B. Pickett
Title
Ceo
Phone
(907) 792-7975

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in AK, AZ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20221115000240 AK Part B Supplier - Clinic/Group Practice 6800264326 Receives reassigned benefits from 9 practitioners
Practice locations: Palmer, AK
O20240131004581 AZ Part B Supplier - Clinic/Group Practice 6800264326 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

National Provider Directory

Locations

2480 S Woodworth Loop
Ste 140
Palmer, AK 99645
Phone (907) 746-2929

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2085R0202X Yes
Radiology Clinic/Center 261QR0200X

Addresses

Primary practice location

2480 S Woodworth Loop Ste 140
Palmer, AK 99645-7408

Mailing address

PO Box 75568
Chicago, IL 60675-5568
Phone (907) 746-2929

Other providers in Palmer, AK

All providers in Palmer, AK · Diagnostic Radiology Physician in Alaska

Sources for this page

Verify at the official NPI Registry.