Alchemy Skin Lab & Electrolysis Inc.

Primary specialty

Other TechnicianTaxonomy code 247200000X

Legal business name

ALCHEMY SKIN LAB & ELECTROLYSIS INC.

Practice address

1106 Columbia Ave Ste 104
Marysville, WA 98270-4343

Phone

(360) 502-7546

Fax

(360) 925-6589

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Ruben Alfonso Alanis

Title

Cfo/Treasurer

Phone

(206) 390-0385

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1659136604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28306 NE 147TH CT",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980198134",
            "telephone_number": "206-390-0385",
            "fax_number": "360-925-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLUMBIA AVE STE 104",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704343",
            "telephone_number": "360-502-7546",
            "fax_number": "360-925-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY SKIN LAB & ELECTROLYSIS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "ALANIS",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "206-390-0385"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.