KODIAK DIAGNOSTIC IMAGING, PROFESSIONAL CORPORATION
Radiology at Rezanof Dr, Kodiak, AK

License number
Alaska 4924
Category
Radiology
Type
Diagnostic Radiology
Owner
Name: CARLOS E RIO MD
Title: PRESIDENT
Phone: (907) 486-2466
Address
Address
1915 E Rezanof Dr, Kodiak, AK 99615
National Provider ID: 1285899021
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Kodiak Diagnostic Imaging, Professional Corporation

PO Box 8785, Kodiak, AK 99615

Registration:
Jun 3, 2008
State ID:
116477
Business type:
Business Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
Carlos Rio (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Agent:
Carlos E Rio,3454 Spruce Cpe Rd, Kodiak, AK 99615 (Mailing)
Next Report:
20160102

Radiology licenses in Alaska



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