MEDICARE: RADIOLOGY SERVICES OF ALASKA INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician

General Provider Information

NPI Number	:	1497021588
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIOLOGY SERVICES OF ALASKA INC.

Provider Business Mailing Address
First Line	:	PO BOX 75585
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60675-5585
Country	:	US
Telephone Number	:	907-792-7900
Fax Number	:	907-274-0053

Provider Business Practice Location Address
First Line	:	2841 DEBARR RD STE 12
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99508-2968
Country	:	US
Telephone Number	:	907-792-7900
Fax Number	:	907-274-0053

Authorized Official
Title or Position	:	MANAGER
Name	:	ROSEANN B PICKETT
Credential	:
Telephone Number	:	907-792-7975

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	02/27/2025

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