Denali Biomedical LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DENALI BIOMEDICAL LLC

Practice address

2485 Chief William Dr
Fairbanks, AK 99709-4873

Phone

(907) 328-0989

NPI assigned

Jan 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tony Nimeh, MD

Title

Member

Phone

(617) 686-6809

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1205424165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 OLD STEESE HWY STE B-306",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 CHIEF WILLIAM DR",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997094873",
            "telephone_number": "907-328-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENALI BIOMEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "NIMEH",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "617-686-6809",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tasha Nichah Demit
• Aubrey Demming-Marsh, B.A.
• Michael James Demoski, EFDHA1
• Rayvan Dempsey
• Denali Asthma and Pulmonary LLC
• Denali Center
• Denali Center, LLC
• Denali Dental Associates, LLC
• Denali Healthcare Specialists
• Denali Primary Care

• Ambulatory Surgical Clinic/Center in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Ambulatory Surgical Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.