OrganizationActive
Kodiak Life Diagnostic Imaging, Inc
NPI 1083125355 · Radiology Clinic/Center · Kodiak, AK
Provider details
- NPI number
- 1083125355
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Bise, President(907) 512-9559
- License
- 106389 (AK)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 512-9559
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8790
Kodiak, AK 99615-8790
Registry dates
- Enumerated
- 2017-10-13
- Last updated
- 2017-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.