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Coastal ASC,LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Anchorage, AK

NPI 1104563352 · NPPES record last updated Sep 13, 2024

Key facts

NPI
1104563352
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
Legal business name
COASTAL ASC,LLC
Practice address
188 W Northern Lights Blvd Ste 110
Anchorage, AK 99503-3902
Phone
(907) 562-0018
Fax
(907) 562-0019
NPI assigned
May 18, 2022
Organization subpart
No

Authorized official

Name
Susanne E. Fix, MD
Title
Director
Phone
(907) 562-0018

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Susanne E. Fix, M.D. Neurological Surgery Physician · Anchorage, AK · NPI 1497866578
    NPD

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
02D2271965Coastal ASC, LLC
188 W Northern Lights Blvd, Ste 110, Anchorage, AK 99503		Certificate of waiverNov 10, 2026

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Yes

Addresses

Primary practice location

188 W Northern Lights Blvd Ste 110
Anchorage, AK 99503-3902

Mailing address

188 W Northern Lights Blvd Ste 110
Anchorage, AK 99503-3902
Phone (907) 562-0018

Other providers in Anchorage, AK

All providers in Anchorage, AK · Ambulatory Surgical Clinic/Center in Alaska

Sources for this page

Verify at the official NPI Registry.