NPI 1861742793

Mat-Su Medical Laboratory, LLC.

Organisation Clinical Medical Laboratory Wasilla, AK

Practice location

Address: 224 N Yenlo St STE 3b, Wasilla, AK 99654-7195
Phone: (907) 376-1122

Authorised official

Name: Pauline Bullard
Title: Owner
Phone: (907) 376-1122

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Alaska →

Registry record

NPI: 1861742793
Entity type: Organization
NPI issued: 18 Sep 2012
Record last updated: 21 Jul 2022

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.