NPI 1265600936

Northway Medical Laboratory, INC.

Organisation Clinical Medical Laboratory Wasilla, AK

Practice location

Address: 991 North Hermon Rd. Suite 400, Wasilla, AK 99654
Phone: (907) 357-2993

Authorised official

Name: Cecilia de Leon
Title: Owner
Phone: (907) 830-0518

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 907046 (AK)

Other Clinical Medical Laboratory providers in Alaska →

Registry record

NPI: 1265600936
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 15 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.