NORTHWAY MEDICAL LABORATORY, INC. (NPI# 1265600936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265600936 |
| Entity Type | Organization |
| Organization Name | NORTHWAY MEDICAL LABORATORY, INC. |
| Practice Address |
991 North Hermon Rd. Suite 400 Wasilla AK 99654 |
| Practice Telephone | 9073572993 |
| Mailing Telephone | 9073572993 |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | CECILIA DE LEON (OWNER) |
| Authorized Official Telephone | 9078300518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 907046 | AK | Laboratories |
| Street Address |
991 NORTH HERMON RD. SUITE 400 |
| City | WASILLA |
| State | AK |
| Zip Code | 99654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003426784 | Colleen Maggie Newcity | Case Manager/Care Coordinator | 851 Westpoint Suite 310, Wasilla, AK 99654 | 2020-08-06 |
| 1659995884 | Amy M Lowe | Peer Specialist | 1363 W Spuce Ave, Wasilla, AK 99654 | 2020-06-03 |
| 1922648690 | Achieve Medical Alaska LLC | Clinic/Center | 1981 E Palmer, Suite 230, Wasilla, AK 99654 | 2020-01-10 |
| 1588205538 | Juan Carlos Garcia | Physician Assistant | 950 East Bogard Road, Suite 103, Wasilla, AK 99654 | 2019-10-01 |
| 1427610864 | Sharon Webb | Counselor | 705 S Knik Goose Bay Rd Suite K, Wasilla, AK 99654 | 2019-07-06 |
| 1306401864 | Logan Lee Cook | Peer Specialist | 2953 E Fairview Loop, Wasilla, AK 99654 | 2019-05-09 |
| 1053883595 | Moose Creek Medical Clinic LLC | Nurse Practitioner | 2341 S. Fern St., Suite 300, Wasilla, AK 99654 | 2018-12-21 |
| 1487124962 | Melissa A Stevens | Massage Therapist | 2201 W That Rd, Wasilla, AK 99654 | 2018-11-28 |
| 1609359561 | Audrey E Beers | Midwife | 2405 S. Knik Goose Bay Rd., Wasilla, AK 99654 | 2018-09-07 |
| 1093297418 | Karlee Janine Mccorry | Occupational Therapist | 613 S Knik-goose Bay Rd, Wasilla, AK 99654 | 2018-09-01 |
| Find all providers in zip 99654 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861742793 | Mat-su Medical Laboratory, LLC. | Clinical Medical Laboratory | 224 N Yenlo St Ste 3b, Wasilla, AK 99654-7195 | 2012-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202453 | Beechtree Molecular Lab LLC | Clinical Medical Laboratory | 301 Calista Ct Ste 102, Anchorage, AK 99518-3000 | 2020-10-15 |
| 1417204017 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2925 Debarr Rd Ste 300, Anchorage, AK 99508-2980 | 2012-08-14 |
| 1306102355 | Laboratory Corporation of America | Clinical Medical Laboratory | 3841 Piper St Ste 3, T-057, Anchorage, AK 99508-4624 | 2012-04-04 |
| 1639496532 | Alaska Home Sleep Diagnostics, LLC | Clinical Medical Laboratory | 1940 Bluegrass Cir, Anchorage, AK 99502-5403 | 2010-05-01 |
| 1386729234 | Innovative Sleep Solutions, LLC | Clinical Medical Laboratory | 35670 Kenai Spur Hwy Ste 103a, Soldotna, AK 99669-7649 | 2006-10-26 |
| 1508803669 | Jordan Creek Diagnostics | Clinical Medical Laboratory | 8800 Glacier Hwy, Suite 218, Juneau, AK 99801 | 2006-05-31 |
| 1760458491 | Southeast Alaska Regional Center | Clinical Medical Laboratory | 2490 S Woodworth, Suite 410, Palmer, AK 99645 | 2006-02-23 |
| 1669925012 | Laboratory Corporation of America | Clinical Medical Laboratory | 1626 30th Ave, Fairbanks, AK 99701-7466 | 2016-08-02 |
| 1568846459 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 4120 Laurel St, Ste 103, Anchorage, AK 99508-5392 | 2015-07-10 |
| 1629455902 | Lab C | Clinical Medical Laboratory | 500 E Tudor Rd, Suite 200, Anchorage, AK 99503-7368 | 2015-05-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.