CELLNETIX LABS, LLC (NPI# 1538422639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538422639 |
| Entity Type | Organization |
| Organization Name | CELLNETIX LABS, LLC |
| Practice Address |
2490 S Woodworth Loop Palmer AK 99645-7405 |
| Mailing Address |
1124 Columbia St Ste 200 Seattle WA 98104-2026 |
| Practice Telephone | 8662368296 |
| Mailing Telephone | 8662368296 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | J RANDALL BOREK (CFO) |
| Authorized Official Telephone | 2065766138 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326525023 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 413 Lilly Rd Ne # Ddh06, Olympia, WA 98506-5133 | 2018-07-25 |
| 1407060411 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 12501 E Marginal Way S Ste 200, Tukwila, WA 98168-2560 | 2007-05-09 |
| 1477828838 | Cellnetix Labs, LLC | Clinical Medical Laboratory | 800 W 5th Ave, Spokane, WA 99204-2803 | 2012-03-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CELLNETIX LABS, LLC | 1124 Columbia St., Suite 200, Seattle, Wa 98104 |
| Washington State Corporations | CELLNETIX LABS, LLC | 12501 E Marginal Way S, Ste 200, Tukwila, WA 98168-5163 |
| Colorado Business Entities | CellNetix Labs, LLC | 12501 E Marginal Way S, Suite 200, Tukwila, WA 98168 |
| Street Address |
2490 S WOODWORTH LOOP |
| City | PALMER |
| State | AK |
| Zip Code | 99645-7405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366443871 | Michael R Senta | Surgery | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7405 | 2005-08-09 |
| 1487017877 | Megan Ferguson | Advanced Practice Midwife | 2490 S Woodworth Loop, Suite 301, Palmer, AK 99645-7410 | 2016-04-01 |
| 1770967598 | Midnight Sun Oncology Partners, LLC | Internal Medicine | 2490 S Woodworth Loop, Suite 499, Palmer, AK 99645-7410 | 2015-07-10 |
| 1568861086 | Glacier Surgical Associates, Inc | Surgery | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7410 | 2014-08-20 |
| 1972842326 | Brianna Nye | Physician Assistant | 2490 S Woodworth Loop, Suite 350, Palmer, AK 99645-7405 | 2013-02-05 |
| 1508129628 | Cellnetix Pathology, Pllc | Pathology | 2490 S Woodworth Loop, Suite 410, Palmer, AK 99645-7405 | 2012-06-22 |
| 1861776791 | Mat-su Plastic Surgery LLC | Plastic Surgery | 2490 S Woodworth Loop, Suite 310, Palmer, AK 99645-7405 | 2011-10-11 |
| 1245538396 | Sarah Wood Johanson | Nurse Practitioner | 2490 S Woodworth Loop, Suite 450, Palmer, AK 99645-7410 | 2011-03-14 |
| 1447570874 | Valley Radiation Oncology | Radiology | 2490 S Woodworth Loop, Suite 150, Palmer, AK 99645-7405 | 2010-06-08 |
| 1912132614 | Michael Montano | Orthopaedic Surgery | 2490 S Woodworth Loop, Suite 200, Palmer, AK 99645-7410 | 2009-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357135 | Kasey M Flintoft | Occupational Therapist | 7200 E. Jim Cottrell Cir, Palmer, AK 99645 | 2020-05-14 |
| 1629601471 | Courtney Randol | Licensed Practical Nurse | 14405 E Pace Dr., Palmer, AK 99645 | 2020-02-20 |
| 1689213092 | Valerie Anne Delaune | Acupuncturist | 9693 N. Little Otter Dr., Palmer, AK 99645 | 2020-01-02 |
| 1003464512 | Alaskan Sunrise Behavioral Health, L.L.C. | Clinic/Center | 14460 E. Pace Dr., Palmer, AK 99645 | 2019-08-28 |
| 1548814718 | Maple Springs of Palmer Snf Holdings, LLC | Skilled Nursing Facility | 12130 E Maple Springs Way, Palmer, AK 99645 | 2019-07-26 |
| 1952868655 | Carla Beth Kelly | Physical Therapist | 7200 Jim Cottrell Circle, Palmer, AK 99645 | 2019-02-28 |
| 1366938375 | Wendy S Page | Behavior Technician | 7200 E Jim Cottrell, Wasilla, AK 99645 | 2018-07-03 |
| 1154845170 | Sarah Elizabeth Gilliland | Occupational Therapist | 7200 E Jim Cottrell Circle, Palmer, AK 99645 | 2017-08-01 |
| 1558885137 | Garland Brooks | Massage Therapist | 1934 Prospect Dr, Palmer, AK 99645 | 2017-07-26 |
| 1386165009 | Sommer Dawn Nielsen | Massage Therapist | 3566 N Mars Ave., Palmer, AK 99645 | 2017-07-03 |
| Find all providers in zip 99645 | ||||
| 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 |
|---|---|---|---|---|
| 1760458491 | Southeast Alaska Regional Center | Clinical Medical Laboratory | 2490 S Woodworth, Suite 410, Palmer, AK 99645 | 2006-02-23 |
| 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 |
| 1861742793 | Mat-su Medical Laboratory, LLC. | Clinical Medical Laboratory | 224 N Yenlo St Ste 3b, Wasilla, AK 99654-7195 | 2012-09-18 |
| 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 |
| 1265600936 | Northway Medical Laboratory, Inc. | Clinical Medical Laboratory | 991 North Hermon Rd., Suite 400, Wasilla, AK 99654 | 2008-02-15 |
| 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 |
| 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 |
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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.