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COASTAL ASC,LLC
NPI 1104563352
Clinic/Center - Ambulatory Surgical in Anchorage, AK

Active since May 18, 2022CLIA 02D2271965 · Waiver
188 W NORTHERN LIGHTS BLVD STE 110, ANCHORAGE, AK 99503(907) 562-0018(907) 562-0019 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2024, May 18, 2022 (2 updates tracked since 2022).

About Coastal Asc,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL ASC,LLC (NPI 1104563352) is a healthcare organization registered as an ambulatory surgical in Anchorage, Alaska and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 10, 2026 and lists Susanne E. Fix, Director, as its authorized official.

NPPES Registry Identity

NPI1104563352
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOASTAL ASC,LLC
Location Address188 W NORTHERN LIGHTS BLVD STE 110Anchorage, AK 99503-3902
Mailing Address188 W Northern Lights Blvd Ste 110Anchorage, AK 99503-3902 · (907) 562-0018 · Fax (907) 562-0019
Phone(907) 562-0018
Fax(907) 562-0019
Organization SubpartNo
Authorized OfficialSusanne E. FixDirector · (907) 562-0018
Enumeration DateMay 18, 2022
Last NPPES UpdateSeptember 13, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2024
✔ NPI 1104563352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
188 W NORTHERN LIGHTS BLVD STE 110, Anchorage, AK 99503
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 02D2271965

Coastal ASC, LLC · Anchorage, AK
Active · expires Nov 10, 2026
CLIA Number02D2271965
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 11, 2024
Certificate Expiration DateNovember 10, 2026
Laboratory DirectorDr. Richard Perrin
Laboratory Phone(907) 562-0018
Laboratory LocationCoastal ASC, LLC188 W Northern Lights Blvd, Ste 110, Anchorage, AK 99503
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Asc,llc's NPI number?

The NPI number for Coastal Asc,llc is 1104563352. It was assigned to this organization in the NPPES registry on May 18, 2022.

Where is Coastal Asc,llc located?

Coastal Asc,llc is located at 188 W Northern Lights Blvd Ste 110, Anchorage, AK 99503. The listed phone number is (907) 562-0018.

What is Coastal Asc,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Coastal Asc,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2271965) is associated with this NPI, valid through November 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coastal Asc,llc was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.