Provider Demographics
NPI:1871636514
Name:ALASKA FETAL IMAGING, LLC
Entity Type:Organization
Organization Name:ALASKA FETAL IMAGING, LLC
Other - Org Name:SHERRIE RICHAY, M.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:BUS. MNGS.
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:907-770-6464
Mailing Address - Street 1:4050 LK. OTIS PKWY
Mailing Address - Street 2:STE 100-A
Mailing Address - City:ANKORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508
Mailing Address - Country:US
Mailing Address - Phone:907-770-6464
Mailing Address - Fax:907-770-6464
Practice Address - Street 1:4050 LK. OTIS PKWY
Practice Address - Street 2:STE 100-A
Practice Address - City:ANKORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508
Practice Address - Country:US
Practice Address - Phone:907-770-6464
Practice Address - Fax:907-770-6464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK33852085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD13301Medicaid