FAIRBANKS COMMUNITY IMAGING, LLC – Diagnostic Radiology Physician, NPI 1245456557

FAIRBANKS COMMUNITY IMAGING, LLC is a healthcare provider. based in Anchorage, Alaska. specializing in Diagnostic Radiology Physician. The NPI Number for FAIRBANKS COMMUNITY IMAGING, LLC is 1245456557

Main info

Organization
Name
FAIRBANKS COMMUNITY IMAGING, LLC
NPI
1245456557
Phone
Not provided
Address
4100 LAKE OTIS PKWY STE 309
Authorized Official
DR. JOHN MCCORMICK MANAGER M.D.
Enumeration Date
17 April 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for FAIRBANKS COMMUNITY IMAGING, LLC

  • 4100 LAKE OTIS PKWY STE 309

    ANCHORAGE, AK 995085231

    Phone:

    Type: Mailing

  • 1314 22ND AVE.

    FAIRBANKS, AK 99701

    Phone: (907) 563-3700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Frequently asked questions

What federal number belongs to FAIRBANKS COMMUNITY IMAGING, LLC?
The federal identifier for FAIRBANKS COMMUNITY IMAGING, LLC is NPI 1245456557.
Is FAIRBANKS COMMUNITY IMAGING, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is FAIRBANKS COMMUNITY IMAGING, LLC?
The page reflects Diagnostic Radiology Physician for FAIRBANKS COMMUNITY IMAGING, LLC. Clinical services aligned with this taxonomy classification.
Where does public data place FAIRBANKS COMMUNITY IMAGING, LLC?
The snapshot lists Anchorage, Alaska for FAIRBANKS COMMUNITY IMAGING, LLC; download NPPES for the complete set.
How can I contact FAIRBANKS COMMUNITY IMAGING, LLC?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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