NPIMap

Organization Active NPI

Alyeska Imaging Center, Inc.

  • Diagnostic Radiology Physician
  • Palmer, AK
National Provider Identifier
1306579164
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 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
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, AZ2 enrollments

Enrollment records 2

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

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1306579164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75568",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606755568",
            "telephone_number": "907-746-2929",
            "fax_number": "907-746-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 S WOODWORTH LOOP STE 140",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457408",
            "telephone_number": "907-746-2929",
            "fax_number": "907-746-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALYESKA IMAGING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-07",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-792-7975"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.