MEDICAL NETWORK OF ALASKA, LLC
NPI 1821796533
Orthopaedic Surgery in Eagle River, AK
- Organization
- Orthopaedic Surgery
- CLIA Number: 02D1099953
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-18-2028
About MEDICAL NETWORK OF ALASKA, LLC
This page provides the complete NPI Profile along with additional information for Medical Network Of Alaska, Llc, a provider established in Eagle River, Alaska operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1821796533 assigned on February 2023. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jacquelyn Renee Blomker (Director Of Revenue Cycle)
- NPI
- 1821796533 Verify this NPI
- Provider Name
- MEDICAL NETWORK OF ALASKA, LLC
- Entity Type
- Organization
- Location Address
- 17025 SNOWMOBILE LN STE 102 EAGLE RIVER, AK 99577
- Location Phone
- (907) 689-3145
- Mailing Address
- 3122 E MERIDIAN PARK LOOP WASILLA, AK 99654
- Mailing Phone
- (907) 864-4625
- Mailing Fax
- (907) 313-1540
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-21-2023
- Last Update Date
- 02-21-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 02D1099953
- Facility Type
- Physician Office
- Certificate Effective Date
- January 19, 2026
- Certificate Expiration Date
- January 18, 2028
- Laboratory Director
- SHAWNA L. FINLEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Medical Network Of Alaska, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
EAGLE RIVER, AK 99577
EAGLE RIVER, AK 99577
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821796533, enumerated as an "organization" on February 21, 2023.
The provider is located at 17025 SNOWMOBILE LN STE 102 EAGLE RIVER, AK 99577 and the phone number is (907) 689-3145.
Orthopaedic Surgery with taxonomy code 207X00000X.
