Organization
ALASKA OPEN IMAGING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF KINION (CEO)
(907) 357-1220
Entity
Organization
Contact information
Practice address
1751 GARDNER WAY STE B, WASILLA, AK 99654-6564
(907) 357-1220
(907) 357-1222
Mailing address
1751 GARDNER WAY STE B, WASILLA, AK 99654-6564
(907) 357-1220
(907) 357-1222
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
704593
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MDG155
—
AK
05
—
MDG1551
—
AK
05
—
MDG1552
—
AK
05
—
MDG1553
—
AK
01
—
N2018
BC BS AOIC NUMBER
AK
Enumeration date
11/27/2006
Last updated
10/05/2007
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