Southeast Alaska Regional Center in Palmer - Clinical Medical Laboratory
Southeast Alaska Regional Center - NPI 1760458491
Southeast Alaska Regional Center is a Clinical Medical Laboratory in Palmer, Alaska. Southeast Alaska Regional Center practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Southeast Alaska Regional Center is 1760458491. The last update date is 2020-08-22.
Southeast Alaska Regional Center's current location address is 2490 S Woodworth, Palmer, Alaska. You can contact this provider via phone number 9077459230 and fax number 9077459233. The mailing address for Southeast Alaska Regional Center is 2490 S Woodworth, Palmer, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Alaska Regional Center |
|---|---|
| Address | 2490 S Woodworth, Palmer, Alaska |
| Phone Number | 9077459230 |
| Fax Number | 9077459233 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Scott R Jerald |
| Credentials | MD |
| Telephone Number | 9076223569 |
NPI Number Detail
| NPI Number | 1760458491 |
|---|---|
| Provider Enumeration Date | 2006-02-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2490 S Woodworth |
|---|---|
| City | Palmer |
| State | Alaska (AK) |
| Post Code | 99645 |
| Phone Number | 9077459230 |
| Fax Number | 9077459233 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 288794 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD47212 | AK | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Southeast Alaska Regional Center by the Centers for Medicare & Medicaid Services?
The Southeast Alaska Regional Center has been issued the NPI (National Provider Identifier) 1760458491. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Southeast Alaska Regional Center is physically located?
The Southeast Alaska Regional Center is physically situated at the following address: 2490 S Woodworth, Palmer, AK, 99645.
What is Southeast Alaska Regional Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The Southeast Alaska Regional Center's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Southeast Alaska Regional Center receive the assignment of its 1760458491 from the Centers for Medicare & Medicaid Services?
The Southeast Alaska Regional Center was issued its 1760458491 by the Centers for Medicare & Medicaid Services on 2006-02-23.
When was the Southeast Alaska Regional Center's information last updated?
The Southeast Alaska Regional Center's information was last updated on 2020-08-22.