NPI 1528360625
Fairbanks Medical Imaging LLC
Practice location
- Address
- 2310 Peger Rd Suite 102, Fairbanks, AK 99709-5305
- Phone
- (360) 424-6161
- Fax
- (360) 848-1167
- Mailing address
- 1320 E Division St, Mount Vernon, WA 98274-4133
Authorised official
- Name
- John T Burke
- Title
- Physician
- Phone
- (360) 424-6161
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1528360625
- Entity type
- Organization
- NPI issued
- 22 Nov 2010
- Record last updated
- 27 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.