NPIMap

Organization Active NPI

Anchorage Imaging Center LLC

  • Radiology Clinic/Center
  • Anchorage, AK
National Provider Identifier
1417615543
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
ANCHORAGE IMAGING CENTER LLC
Practice address
2210 E Northern Lights Blvd Ste 101
Anchorage, AK 99508-4153
Phone
(907) 373-3700
NPI assigned
Dec 6, 2021
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Stanley James
Title
Ceo
Phone
(907) 982-7978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

2210 E Northern Lights Blvd Ste 101
Anchorage, AK 99508-4153

Mailing address

PO Box 1641
Evansville, IN 47706-0042
Phone (907) 373-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, AZ, HI, TN5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20220623002691 AK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163801085 Practice locations: Anchorage, AK
O20240513001507 TX Part B Supplier - Clinic/Group Practice 2163801085 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX; Humble, TX
O20240521001325 AZ Part B Supplier - Clinic/Group Practice 2163801085 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20240521001754 HI Part B Supplier - Clinic/Group Practice 2163801085 Receives reassigned benefits from 2 practitioners
Practice locations: Haleiwa, HI; Honolulu, HI
O20240605000485 TN Part B Supplier - Clinic/Group Practice 2163801085 Receives reassigned benefits from 1 practitioner
Practice locations: Oneida, TN

National Provider Directory

National Provider Directory

Locations

2210 E Northern Lights Blvd
Ste 101
Anchorage, AK 99508

261 E Park Ave
Ste 3
Wasilla, AK 99654

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1417615543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1641",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060042",
            "telephone_number": "907-373-3700",
            "fax_number": "907-373-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 E NORTHERN LIGHTS BLVD STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084153",
            "telephone_number": "907-373-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-982-7978"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.