DIAGNOSTIC HEALTH CENTER OF ANCHORAGE, LLC (NPI# 1902382591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902382591 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC HEALTH CENTER OF ANCHORAGE, LLC |
| Practice Address |
3600 E Wickersham Way Ste B Wasilla AK 99654-7550 |
| Mailing Address |
18201 Von Karman Ave Ste 600 Irvine CA 92612-1176 |
| Practice Telephone | 9073764300 |
| Practice Fax Number | 9073764340 |
| Mailing Telephone | 8005443215 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | WILLIAM LARKIN (CFO) |
| Authorized Official Telephone | 8005443215 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662145 | Diagnostic Health Center of Anchorage, LLC | Clinic/Center | 1751 E Gardner Way Ste B, Wasilla, AK 99654-6564 | 2015-10-26 |
| 1235188426 | Diagnostic Health Center of Anchorage, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 102, Anchorage, AK 99508-5222 | 2006-05-08 |
| Street Address |
3600 E WICKERSHAM WAY STE B |
| City | WASILLA |
| State | AK |
| Zip Code | 99654-7550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841662145 | Diagnostic Health Center of Anchorage, LLC | Clinic/Center | 1751 E Gardner Way Ste B, Wasilla, AK 99654-6564 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558770651 | Ultracare Diagnostic Imaging, LLC | Clinic/Center | 425 G St, Suite 620, Anchorage, AK 99501-2140 | 2014-08-04 |
| 1518033281 | Alaska Family Sonograms, Inc | Clinic/Center | 3600 Lake Otis Pkwy Ste 101, Anchorage, AK 99508-5225 | 2006-11-27 |
| 1083125355 | Kodiak Life Diagnostic Imaging, Inc | Clinic/Center | 1915 E Rezanof Dr, Kodiak, AK 99615-6602 | 2017-10-13 |
| 1457735003 | Alaska Native Tribal Health Consortium | Clinic/Center | 3449 Rezanof Dr E, Kodiak, AK 99615-6952 | 2015-07-14 |
| 1235455809 | Fairbanks Ultrasound, LLC. | Clinic/Center | 3419 Airport Way Ste D, Fairbanks, AK 99709-4761 | 2010-04-07 |
| 1235188426 | Diagnostic Health Center of Anchorage, LLC | Clinic/Center | 4100 Lake Otis Pkwy, Suite 102, Anchorage, AK 99508-5222 | 2006-05-08 |
Please comment or provide details below to improve the information on DIAGNOSTIC HEALTH CENTER OF ANCHORAGE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.