ALASKA INTERIOR SURGICAL CENTER, LLC
NPI 1285330332
Clinic/Center - Ambulatory Surgical in Fairbanks, AK

Active since January 31, 2023CLIA 02D2276987 · Waiver
2485 CHIEF WILLIAM DR # 100, FAIRBANKS, AK 99709(305) 761-1934 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alaska Interior Surgical Center, Llc NPPES

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

ALASKA INTERIOR SURGICAL CENTER, LLC (NPI 1285330332) is a healthcare organization registered as an ambulatory surgical in Fairbanks, Alaska and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through February 16, 2027 and lists Erick Martell, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1285330332
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALASKA INTERIOR SURGICAL CENTER, LLC
Location Address2485 CHIEF WILLIAM DR # 100Fairbanks, AK 99709-4873
Mailing Address3875 Geist Rd # 502Fairbanks, AK 99709-3564 · (305) 761-1934
Organization SubpartNo
Authorized OfficialErick MartellMedical Director · (305) 761-1934
Enumeration DateJanuary 31, 2023
NPPES CertifiedJanuary 31, 2023
NPI 1285330332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2485 CHIEF WILLIAM DR # 100, Fairbanks, AK 99709

Other Identifiers 1

Medicaid1720992AK

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 02D2276987

Alaska Interior Surgical Center, LLC · Fairbanks, AK
Active · expires Feb 16, 2027
CLIA Number02D2276987
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorDr. Erick G. Martell
Laboratory Phone(907) 416-5611
Laboratory LocationAlaska Interior Surgical Center, LLC2485 Chief William Dr, #100, Fairbanks, AK 99709
CLIA data matches this NPI record on: Name
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 Alaska Interior Surgical Center, LLC's NPI number?

The NPI number for Alaska Interior Surgical Center, LLC is 1285330332. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Alaska Interior Surgical Center, LLC located?

Alaska Interior Surgical Center, LLC is located at 2485 Chief William Dr # 100, Fairbanks, AK 99709. The listed phone number is (305) 761-1934.

What is Alaska Interior Surgical Center, LLC's specialty?

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

Does Alaska Interior Surgical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2276987) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Alaska Interior Surgical Center, LLC was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.