Alaska Open Imaging Center LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

704593 Issued in AK

Legal business name

ALASKA OPEN IMAGING CENTER LLC

Practice address

1751 Gardner Way Ste B
Wasilla, AK 99654-6564

Phone

(907) 357-1220

Fax

(907) 357-1222

NPI assigned

Nov 27, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeff Kinion

Title

Ceo

Phone

(907) 357-1220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1811063571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 GARDNER WAY STE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546564",
            "telephone_number": "907-357-1220",
            "fax_number": "907-357-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 GARDNER WAY STE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546564",
            "telephone_number": "907-357-1220",
            "fax_number": "907-357-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA OPEN IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "KINION",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-357-1220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "704593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Diagnostic Radiology Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.