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KODIAK LIFE DIAGNOSTIC IMAGING, INC
NPI 1083125355
Clinic/Center - Radiology in Kodiak, AK

Active since October 13, 2017
1915 E REZANOF DR, KODIAK, AK 99615(907) 512-9559 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kodiak Life Diagnostic Imaging, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KODIAK LIFE DIAGNOSTIC IMAGING, INC (NPI 1083125355) is a healthcare organization registered as a radiology in Kodiak, Alaska and active in the NPI registry since October 2017. The organization lists James Darryl Bise, President, as its authorized official.

NPPES Registry Identity

NPI1083125355
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameKODIAK LIFE DIAGNOSTIC IMAGING, INC
Location Address1915 E REZANOF DRKodiak, AK 99615-6602
Mailing AddressPo Box 8790Kodiak, AK 99615-8790 · (907) 512-9559
Phone(907) 512-9559
Organization SubpartNo
Authorized OfficialJames Darryl BisePresident · (907) 512-9559
Enumeration DateOctober 13, 2017
✔ NPI 1083125355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
License✔ Licensed in AK · 106389
1915 E REZANOF DR, Kodiak, AK 99615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE HEALTH & SERVICES WASHINGTON
General Acute Care Hospital (Critical Access)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-3281
GENE L ROBINSON MD
Surgery
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9580
MRS. ANN-MARIE WEST RN
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9545
PROVIDENCE HEALTH & SERVICES -WASHINGTON
Pharmacy (Institutional Pharmacy)
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
DR. STEPHANIE LOUISE HURLEY PHARMD
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9550
MR. JOHN ARTHUR MCENTEE RPH
Pharmacist
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 486-9549
CYNTHIA M PARENT
Nurse Anesthetist, Certified Registered
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 223-7513
MRS. STEPHANIE MATHIS LOWDERMILK RN, BS, BLSI
Home Health
1915 E REZANOF DR
KODIAK, AK 99615
Kodiak Island Borough (907) 481-2457

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kodiak Life Diagnostic Imaging, Inc's NPI number?

The NPI number for Kodiak Life Diagnostic Imaging, Inc is 1083125355. It was assigned to this organization in the NPPES registry on October 13, 2017.

Where is Kodiak Life Diagnostic Imaging, Inc located?

Kodiak Life Diagnostic Imaging, Inc is located at 1915 E Rezanof Dr, Kodiak, AK 99615. The listed phone number is (907) 512-9559.

What is Kodiak Life Diagnostic Imaging, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

What insurance does Kodiak Life Diagnostic Imaging, Inc accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Kodiak Life Diagnostic Imaging, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kodiak Life Diagnostic Imaging, Inc was last updated on October 13, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.