# FAIRBANKS ULTRASOUND, LLC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235455809
- **Authorized official:** JEFFREY ALAN ZUCKERMAN MD (DIRECTOR)
- **Authorized official phone:** (907) 456-7767

## Contact information

- **Practice address:** 3419 AIRPORT WAY STE D, FAIRBANKS, AK 99709-4761
- **Practice address phone:** (907) 474-2002
- **Practice address fax:** (907) 474-1622
- **Mailing address:** 315 ILLINOIS ST, FAIRBANKS, AK 99701-2910
- **Mailing address phone:** (907) 456-7767
- **Mailing address fax:** (907) 456-8050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | 935916 | AK | Yes |

## Other

- **Enumeration date:** 04/07/2010
- **Last updated:** 12/09/2010