02D2195629 CLIA NUMBER - AER MEDICAL LLC DBA BOREALIS HEART SPECIALIST

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Laboratory Demographics

CLIA Number: 02D2195629

Facility Name: AER MEDICAL LLC DBA BOREALIS HEART SPECIALIST

Facility Address:
1200 AIRPORT HEIGHTS BLD E SUITE 200
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 262-4278

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1083171342

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	02D2195629
LAB Type	Physician Office
Facility Name	AER MEDICAL LLC DBA BOREALIS HEART SPECIALIST
Street	1200 AIRPORT HEIGHTS BLD E SUITE 200
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 262-4278
CertificateType	2
CertificateEffectiveDate	12/4/2023
CertificateExpirationDate	12/3/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024