Provider Demographics
NPI:1497021588
Name:RADIOLOGY SERVICES OF ALASKA INC.
Entity type:Organization
Organization Name:RADIOLOGY SERVICES OF ALASKA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROSEANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:PICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-792-7975
Mailing Address - Street 1:PO BOX 75585
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60675-5585
Mailing Address - Country:US
Mailing Address - Phone:907-792-7900
Mailing Address - Fax:907-274-0053
Practice Address - Street 1:2841 DEBARR RD STE 12
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2968
Practice Address - Country:US
Practice Address - Phone:907-792-7900
Practice Address - Fax:907-274-0053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMPG0472Medicare UPIN