NPIMap

Organization Active NPI

Valley Upright Imaging LLC

  • Radiology Clinic/Center
  • Wasilla, AK
National Provider Identifier
1861880908
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
VALLEY UPRIGHT IMAGING LLC
Practice address
3765 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8417
Phone
(907) 373-3700
Fax
(907) 373-3799
NPI assigned
Dec 23, 2014
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
Stanley C James
Title
Ceo
Phone
(907) 373-3700

Specialties & licenses 2

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

Addresses

Primary practice location

3765 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8417

Mailing address

PO Box 1639
Evansville, IN 47706-0040
Phone (907) 373-3700

Other names 1

  • Valley Imaging Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TN, TX, HI, AZ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20150918002678 AK Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1254648561 Practice locations: Wasilla, AK
O20240328002047 TN Part B Supplier - Clinic/Group Practice 1254648561 Receives reassigned benefits from 1 practitioner
Practice locations: Oneida, TN
O20240402001447 TX Part B Supplier - Clinic/Group Practice 1254648561 Receives reassigned benefits from 2 practitioners
Practice locations: Austin, TX; Humble, TX
O20240412003609 HI Part B Supplier - Clinic/Group Practice 1254648561 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI; Haleiwa, HI
O20240412003691 AZ Part B Supplier - Clinic/Group Practice 1254648561 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2150437Valley Upright Imaging, LLC3765 E Blue Lupine Dr, Ste B, Wasilla, AK 99654Certificate of waiverJun 24, 2028

National Provider Directory

National Provider Directory

Locations

261 E Park Ave
Unit 3
Wasilla, AK 99654

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1861880908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1639",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477060040",
            "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": "3765 E BLUE LUPINE DR STE B",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996548417",
            "telephone_number": "907-373-3700",
            "fax_number": "907-373-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY UPRIGHT IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-23",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "907-373-3700"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wasilla, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.