OrganizationActive
Radiology Consultants a Professional Corp
NPI 1124056734 · Diagnostic Radiology Physician · Fairbanks, AK
Provider details
- NPI number
- 1124056734
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suzan Bast, Practice Manager(907) 460-1762
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1650 Cowles St
Fairbanks, AK 99701-5925
Phone: (907) 458-5660
Fax: (903) 663-9960
Street-level locationGet directions
Mailing address
Po Box 70378
Fairbanks, AK 99707-0378
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.