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FAIRBANKS VASCULAR SURGERY
NPI 1972240562
Clinic/Center in Fairbanks, AK

Active since May 16, 2022CLIA 02D2271568 · Waiver
2485 CHIEF WILLIAM DR STE 100, FAIRBANKS, AK 99709(907) 328-0965(907) 457-5278 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairbanks Vascular Surgery NPPES

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

FAIRBANKS VASCULAR SURGERY (NPI 1972240562) is a healthcare organization registered as a clinic/center in Fairbanks, Alaska and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Hardeep Reddick, Owner, as its authorized official.

NPPES Registry Identity

NPI1972240562
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFAIRBANKS VASCULAR SURGERY
Location Address2485 CHIEF WILLIAM DR STE 100Fairbanks, AK 99709-4873
Mailing Address2485 Chief William Dr Ste 100Fairbanks, AK 99709-4873 · (907) 328-0965 · Fax (907) 457-5278
Phone(907) 328-0965
Fax(907) 457-5278
Organization SubpartNo
Authorized OfficialHardeep ReddickOwner · (408) 800-8200
Enumeration DateMay 16, 2022
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1972240562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2485 CHIEF WILLIAM DR STE 100, Fairbanks, AK 99709
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

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 02D2271568

Fairbanks Vascular Surgery Center, LLC · Fairbanks, AK
Active · expires Nov 2, 2026
CLIA Number02D2271568
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorDr. Milan Bajmoczi
Laboratory Phone(909) 328-0965
Laboratory LocationFairbanks Vascular Surgery Center, LLC562 University Ave Ste 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 Fairbanks Vascular Surgery's NPI number?

The NPI number for Fairbanks Vascular Surgery is 1972240562. It was assigned to this organization in the NPPES registry on May 16, 2022.

Where is Fairbanks Vascular Surgery located?

Fairbanks Vascular Surgery is located at 2485 Chief William Dr Ste 100, Fairbanks, AK 99709. The listed phone number is (907) 328-0965.

What is Fairbanks Vascular Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Fairbanks Vascular Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 02D2271568) is associated with this NPI, valid through November 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fairbanks Vascular Surgery accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Fairbanks Vascular Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fairbanks Vascular Surgery was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.