PACIFIC NORTHWEST RADIOLOGY LLC; NPI #1376762526

Contact Information

PACIFIC NORTHWEST RADIOLOGY LLC

103 FRAM ST
PETERSBURG, AK 99833

Phone: 907-772-4291
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for PACIFIC NORTHWEST RADIOLOGY LLC

NPI # 1376762526

LBN Legal business name PACIFIC NORTHWEST RADIOLOGY LLC

Authorized official BURT LOESSBERG - (ADMINISTRATOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/25/2007

Last updated 08/22/2020 - About 6 years ago

Identifiers

License #

314344

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PACIFIC NORTHWEST RADIOLOGY LLC

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for PACIFIC NORTHWEST RADIOLOGY LLC

Reviews for PACIFIC NORTHWEST RADIOLOGY LLC