Alaska Medical Service

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

480318991008 Issued in AK

Legal business name

ALASKA MEDICAL SERVICE

Practice address

300 W Swanson Ave
Suite 101
Wasilla, AK 99654-6844

Phone

(907) 373-6357

Fax

(907) 373-6359

NPI assigned

Apr 14, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Anne Knowles

Title

Phlebotomist

Phone

(907) 373-6357

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11762/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302739200000",
    "number": "1992095764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W SWANSON AVE",
            "address_2": "SUITE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546844",
            "telephone_number": "907-373-6357",
            "fax_number": "907-373-6359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W SWANSON AVE",
            "address_2": "SUITE 101",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996546844",
            "telephone_number": "907-373-6357",
            "fax_number": "907-373-6359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALASKA MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2011-04-14",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PHLEBOTOMIST",
        "authorized_official_telephone_number": "907-373-6357",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "AK",
            "license": "480318991008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alaska Home Care
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• Alaska Medical Clinics, LLC
• Alaska Open Imaging Center LLC
• Alaska Pediatrics Associates PC
• Alaska Physician Services,LLC
• Alaska Premier Dental Group Wasilla, LLC
• Alaska Vein Care LLC

• All providers in Wasilla, AK
• Phlebotomy Technician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.