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

Kodiak Life Diagnostic Imaging, Inc

Organization Radiology Clinic/Center · NPI 1083125355

Kodiak Life Diagnostic Imaging, Inc is a Radiology Clinic/Center in Kodiak, Alaska. Licensed in Alaska. Registered with an NPI since 2017.

Licensed in
AK
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1915 E Rezanof Dr
Kodiak, AK 99615-6602
Phone: (907) 512-9559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X · Licence 106389 (AK)

Record details

NPI number1083125355
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Bise — President · (907) 512-9559
NPI enumeratedOctober 13, 2017
Last updated in NPPESOctober 13, 2017
Mailing addressPo Box 8790, Kodiak, AK 99615-8790

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