NPIMap

Organization Active NPI

Lab C

  • Clinical Medical Laboratory
  • Anchorage, AK
National Provider Identifier
1629455902
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
1016661 Issued in AK
Legal business name
LAB C
Practice address
500 E Tudor Rd
Suite 200
Anchorage, AK 99503-7368
Phone
(907) 231-5603
Fax
(907) 563-5047
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Cecilia De Leon-Sobier
Title
Owner
Phone
(907) 231-5603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 1016661 AK Primary

Addresses

Primary practice location

500 E Tudor Rd
Suite 200
Anchorage, AK 99503-7368

Mailing address

500 E Tudor Rd
Suite 200
Anchorage, AK 99503-7368
Phone (907) 231-5603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1629455902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E TUDOR RD",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037368",
            "telephone_number": "907-231-5603",
            "fax_number": "907-563-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E TUDOR RD",
            "address_2": "SUITE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037368",
            "telephone_number": "907-231-5603",
            "fax_number": "907-563-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAB C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "DE LEON-SOBIER",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-231-5603"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "AK",
            "license": "1016661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.