Healthcare Provider Details

I. General information

NPI: 1861880908
Provider Name (Legal Business Name): VALLEY UPRIGHT IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/23/2014
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3765 E BLUE LUPINE DR STE B
WASILLA AK
99654-8417
US

IV. Provider business mailing address

PO BOX 1639
EVANSVILLE IN
47706-0040
US

V. Phone/Fax

Practice location:
  • Phone: 907-373-3700
  • Fax: 907-373-3799
Mailing address:
  • Phone: 907-373-3700
  • Fax: 907-373-3799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: STANLEY C JAMES
Title or Position: CEO
Credential:
Phone: 907-373-3700