Organization
ALASKA INNOVATIVE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA ELLISTON (LEAD MRI TECHNICIAN)
(907) 561-9191
Entity
Organization
Contact information
Practice address
2110 E NORTHERN LIGHTS BLVD, SUITE 101, ANCHORAGE, AK 99508-4102
(907) 561-9191
(907) 561-0097
Mailing address
2110 E NORTHERN LIGHTS BLVD, SUITE 101, ANCHORAGE, AK 99508-4102
(907) 561-9191
(907) 561-0097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
420293
AK
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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