Jordan Creek Diagnostics

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

JORDAN CREEK DIAGNOSTICS

Practice address

8800 Glacier Hwy
Suite 218
Juneau, AK 99801

Phone

(907) 789-4015

Fax

(907) 789-4016

NPI assigned

May 31, 2006

Last updated

Apr 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank F Mesdag, DPM

Title

Laboratory Director

Phone

(907) 789-4015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1508803669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-789-4015",
            "fax_number": "907-789-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 GLACIER HWY",
            "address_2": "SUITE 218",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-789-4015",
            "fax_number": "907-789-4016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CREEK DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MESDAG",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "907-789-4015",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mark Jones
• Kristin Josephine Jones
• Lindy Micahel Jones, MD
• Matthew Jon Jones, FNP
• Nadia S. Jones, REGISTERED NURSE
• Jordan Creek Family Health Care
• Silvana Jordan, LMT
• Arlene Gale Jorgenson, RN
• Journey for Life Counseling and Consulting
• Jennifer Lynn Jozwiak, LLC

• Clinical Medical Laboratory in Juneau, AK
• Providers in Juneau, AK by specialty
• Clinical Medical Laboratory in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.