Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alaska Innovative Imaging, LLC

Organization Diagnostic Radiology Physician · NPI 1215053202

Alaska Innovative Imaging, LLC is a Diagnostic Radiology Physician in Anchorage, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2110 E Northern Lights Blvd Ste 101
Anchorage, AK 99508-4102
Phone: (907) 561-9191
Fax: (907) 561-0097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 420293 (AK)

Record details

NPI number1215053202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Elliston — Lead Mri Technician · (907) 561-9191
NPI enumeratedMarch 21, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2110 E Northern Lights Blvd, Suite 101, Anchorage, AK 99508-4102

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