Active NPI
Cellnetix Labs, LLC
- Clinical Medical Laboratory
- Palmer, AK
National Provider Identifier
1538422639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CELLNETIX LABS, LLC
- Practice address
- 2490 S Woodworth Loop
Palmer, AK 99645-7405 - Phone
- (866) 236-8296
- NPI assigned
- Jun 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Byron Kaerstner
- Title
- Cao
- Phone
- (253) 678-1357
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2490 S Woodworth Loop
Palmer, AK 99645-7405
Mailing address
12501 E Marginal Way S Ste 200
Tukwila, WA 98168-5163
Phone (844) 344-4209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121204000535 | AK | Part B Supplier - Independent Clinical Laboratory | 7012936206 | Practice locations: Palmer, AK |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Cellnetix Labs LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Medical Laboratory
- Everett, WA
- NPI 1063481570
-
- Clinical Medical Laboratory
- Olympia, WA
- NPI 1326525023
-
- Clinical Medical Laboratory
- Tukwila, WA
- NPI 1407060411
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1407715113
-
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1477828838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779235200000",
"number": "1538422639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 E MARGINAL WAY S STE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981685163",
"telephone_number": "844-344-4209",
"fax_number": "866-721-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 S WOODWORTH LOOP",
"city": "PALMER",
"state": "AK",
"postal_code": "996457405",
"telephone_number": "866-236-8296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CELLNETIX LABS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-22",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A",
"authorized_official_last_name": "KAERSTNER",
"authorized_official_first_name": "BYRON",
"authorized_official_title_or_position": "CAO",
"authorized_official_telephone_number": "253-678-1357"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.