Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Radiology, Mammography |
261QR0206X | |||
Radiology, Mobile Mammography |
261QR0207X | 45 | Mammography Center |
| NPI # | 1487707790 |
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| LBN Legal business name | BREAST CANCER DETECTION CENTER OF ALASKA AND CHARITABLE CORPORATION | ||||||||||||
| Authorized official | ODETTE BUTLER - (EXECUTIVE DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 01/19/2007 | ||||||||||||
| Last updated | 10/08/2013 - About 13 years ago | ||||||||||||
| Identifiers |
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