Alaska Interior Surgical Center, LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Fairbanks, AK
NPI 1285330332 · NPPES record last updated Aug 26, 2026
Key facts
- NPI
- 1285330332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- ALASKA INTERIOR SURGICAL CENTER, LLC
- Practice address
- 2485 Chief William Dr # 100
Fairbanks, AK 99709-4873 - Phone
- (305) 761-1934
- NPI assigned
- Jan 31, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Erick Martell, MD
- Title
- Medical Director
- Phone
- (305) 761-1934
Practitioners 1
-
Erick G Martell, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 02D2276987 | Alaska Interior Surgical Center, LLC | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
Locations
2485 Chief William Dr
#100
Fairbanks, AK 99709
Phone (907) 328-0965
3875 Geist Rd
#502
Fairbanks, AK 99709
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
2485 Chief William Dr # 100
Fairbanks, AK 99709-4873
Mailing address
562 University Ave Ste 101
Fairbanks, AK 99709-3603
Phone (305) 761-1934
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720992 | Medicaid | AK |
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All providers in Fairbanks, AK · Ambulatory Surgical Clinic/Center in Alaska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.