Organization
KENAI PENINSULA IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L CARLSON BA (PRESIDENT)
(907) 394-9120
Entity
Organization
Contact information
Practice address
100 TRADING BAY RD STE 7, KENAI, AK 99611
(360) 771-7458
Mailing address
100 TRADING BAY RD STE 7, KENAI, AK 99611-7786
(907) 335-4674
(907) 335-1967
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2016
Last updated
08/14/2018
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