LATOUCHE PEDIATRICS, LLC - NPI 1780221127 - Clinic/Center in Anchorage, AK

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.

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About Latouche Pediatrics, Llc NPPES

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

LATOUCHE PEDIATRICS, LLC (NPI 1780221127) is a healthcare organization registered as an adolescent and children mental health in Anchorage, Alaska and active in the NPI registry since December 2019. The organization holds 2 active CLIA laboratory certificates and lists Angella Titus, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1780221127

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NameLATOUCHE PEDIATRICS, LLC

Location Address3340 PROVIDENCE DR STE 452Anchorage, AK 99508-4628

Mailing Address3340 Providence Dr Ste 452Anchorage, AK 99508-4628

Phone(907) 562-2120

Organization SubpartYes

Authorized OfficialAngella TitusBusiness Manager · (907) 562-2120

Enumeration DateDecember 4, 2019

✔ NPI 1780221127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

3340 PROVIDENCE DR STE 452, Anchorage, AK 99508

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CLIA Laboratory Certificates CMS CLIA 2

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 02D1016000

Latouche Pediatrics LLC · Anchorage, AK

Active · expires Aug 17, 2027

CLIA Number02D1016000

Laboratory TypePhysician Office

Certificate Effective DateAugust 18, 2025

Certificate Expiration DateAugust 17, 2027

Laboratory DirectorDr. Adrian Furman

Laboratory Phone(907) 562-2120

Laboratory LocationLatouche Pediatrics LLC1301 East Huffman Suite 110, Anchorage, AK 99515

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 02D1102014

Latouche Pediatrics LLC · Eagle River, AK

Active · expires Jul 8, 2027

CLIA Number02D1102014

Laboratory TypePhysician Office

Certificate Effective DateJuly 9, 2025

Certificate Expiration DateJuly 8, 2027

Laboratory DirectorDr. Adrian Furman

Laboratory Phone(907) 562-2120

Laboratory LocationLatouche Pediatrics LLC17101 Smowmobile Lane, Eagle River, AK 99577

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.