PROVIDENCE IMAGING CENTER
NPI 1265967137
Clinic/Center - Radiology, Mobile Mammography in Anchorage, AK
NPI Status: Active since April 27, 2017
Contact Information
3340 PROVIDENCE DR
ANCHORAGE, AK
ZIP 99508
Phone: (907) 212-3151
Fax: (907) 212-5828
- Organization
- Clinic/Center
- Radiology, Mobile Mammography
- CLIA Number: 02D1002124
- CLIA Cert. Type: Other
- CLIA Exp. Date: 07-28-2026
About PROVIDENCE IMAGING CENTER
This page provides the complete NPI Profile along with additional information for Providence Imaging Center, a provider established in Anchorage, Alaska operating as a Clinic/center, focusing in radiology, mobile mammography . The healthcare provider is registered in the NPI registry with number 1265967137 assigned on April 2017. The practitioner's primary taxonomy code is 261QR0207X with license number 48375 (AK). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)
- NPI
- 1265967137
- Provider Name
- PROVIDENCE IMAGING CENTER
- Entity Type
- Organization
- Location Address
- 3340 PROVIDENCE DR ANCHORAGE, AK 99508
- Location Phone
- (907) 212-3151
- Location Fax
- (907) 212-5828
- Mailing Address
- PO BOX 4567 PORTLAND, OR 97208
- Mailing Phone
- (907) 212-3151
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-27-2017
- Last Update Date
- 05-14-2025
- 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, Mobile Mammography
- Taxonomy Code
- 261QR0207X
- Type
- Ambulatory Health Care Facilities
- License No.
- 48375
- License State
- AK
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Screening 3d breast mammography
Screening mammography
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
This service was performed 218 times for 218 patientsScreening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
This service was performed 214 times for 214 patientsCLIA 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
- 02D1002124
- Facility Type
- Other
- Certificate Effective Date
- July 29, 2024
- Certificate Expiration Date
- July 28, 2026
- Laboratory Director
- BRITNE DAWN PEDERSEN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Imaging Center 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 PROVIDENCE IMAGING CENTER
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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 1265967137, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265967137, enumerated as an "organization" on April 27, 2017.
The provider is located at 3340 PROVIDENCE DR ANCHORAGE, AK 99508 and the phone number is (907) 212-3151.
Clinic/Center with taxonomy code 261QR0207X and a focus in Radiology, Mobile Mammography.
