FAIRBANKS ULTRASOUND, LLC.
NPI 1235455809
Clinic/Center - Radiology in Fairbanks, AK

NPI Status: Active since April 07, 2010

Contact Information

3419 AIRPORT WAY STE D
FAIRBANKS, AK
ZIP 99709
Phone: (907) 474-2002
Fax: (907) 474-1622

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Radiology
  • Accepts Insurance
  • CLIA Number: 02D2271568
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-02-2026

About FAIRBANKS ULTRASOUND, LLC.

This page provides the complete NPI Profile along with additional information for Fairbanks Ultrasound, Llc., a provider established in Fairbanks, Alaska operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1235455809 assigned on April 2010. The practitioner's primary taxonomy code is 261QR0200X with license number 935916 (AK). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Jeffrey Alan Zuckerman Md (Director)

NPI
1235455809
Provider Name
FAIRBANKS ULTRASOUND, LLC.
Entity Type
Organization
Location Address
3419 AIRPORT WAY STE D FAIRBANKS, AK 99709
Location Phone
(907) 474-2002
Location Fax
(907) 474-1622
Mailing Address
315 ILLINOIS ST FAIRBANKS, AK 99701
Mailing Phone
(907) 456-7767
Mailing Fax
(907) 474-1622
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2010
Last Update Date
12-09-2010
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities
License No.
935916
License State
AK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Select Alaska Bronze 6500 - PPO
  • Moda Select Alaska Bronze HDHP 5500 - PPO
  • Moda Select Alaska Gold 1500 - PPO
  • Moda Select Alaska Silver 4500 - PPO
  • Moda Select Alaska Standard Bronze - PPO
  • Moda Select Alaska Standard Gold - PPO
  • Moda Select Alaska Standard Silver - PPO
  • Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Texas Bronze HDHP 7500 - EPO
  • Moda Select Texas Standard Bronze - EPO
  • Moda Select Texas Standard Gold - EPO
  • Moda Select Texas Standard Silver - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFFREY ALAN ZUCKERMAN MD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(907) 456-7767

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
02D2271568
Facility Type
Physician Office
Certificate Effective Date
November 03, 2024
Certificate Expiration Date
November 02, 2026
Laboratory Director
DR. MILAN BAJMOCZI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fairbanks Ultrasound, Llc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FAIRBANKS ULTRASOUND, LLC.

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235455809, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 5 → 10 → 1 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 8 + 5 + 1 + 0 + 8 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1235455809.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
3419 AIRPORT WAY STE D
FAIRBANKS, AK 99709

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235455809, enumerated as an "organization" on April 07, 2010.

The provider is located at 3419 AIRPORT WAY STE D FAIRBANKS, AK 99709 and the phone number is (907) 474-2002.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.

The provider might be accepting Accepts: Moda Health Plan, Inc. and Premera Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.