Provider Demographics
NPI:1689998213
Name:HEMOCHROMATOSIS CLINICS OF ALASKA, LLC
Entity Type:Organization
Organization Name:HEMOCHROMATOSIS CLINICS OF ALASKA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORMAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEAUS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:907-563-4225
Mailing Address - Street 1:2421 E. TUDOR RD
Mailing Address - Street 2:#108
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-1166
Mailing Address - Country:US
Mailing Address - Phone:907-563-4225
Mailing Address - Fax:907-561-6683
Practice Address - Street 1:2421 E. TUDOR RD
Practice Address - Street 2:#108
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-1166
Practice Address - Country:US
Practice Address - Phone:907-563-4225
Practice Address - Fax:907-561-6683
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK93941207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion MedicineGroup - Single Specialty