NPI 1760458491

Southeast Alaska Regional Center

Organisation Clinical Medical Laboratory Palmer, AK

Practice location

Address: 2490 S Woodworth Suite 410, Palmer, AK 99645
Phone: (907) 745-9230
Fax: (907) 745-9233
Mailing address: PO Box 241889, Anchorage, AK 99524-1889

Authorised official

Name: Jerald R Scott
Title: Owner
Phone: (907) 622-3569

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 288794 (AK)

Other Clinical Medical Laboratory providers in Alaska →

Registry record

NPI: 1760458491
Entity type: Organization
NPI issued: 23 Feb 2006
Record last updated: 22 Aug 2020

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.