RESTORE LLC NPI 1174297402

NPI Information

  • NPI: 1174297402
  • Provider Name: RESTORE LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: INSITE TOXICOLOGY AND LABORATORY SERVICES
  • Address: 211 CUSHMAN ST STE 33
    FAIRBANKS, AK
    ZIP 99701
  • Phone: (907) 374-1097

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NPI Details

RESTORE LLC is a clinical medical laboratory in Fairbanks, AK. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. RESTORE LLC NPI is 1174297402. The provider is registered as an organization entity type.
The provider Is Doing Business As Insite Toxicology And Laboratory Services.

The provider's business location address is:

211 CUSHMAN ST STE 33
FAIRBANKS, AK
ZIP 99701-639
Phone: (907) 374-1097

The provider's authorized official is Timothy M Thomas .
The authorized official title is Chief Operations Officer and has the following contact phone number (907) 374-1097.

The enumeration date for this NPI number is 8/2/2021 and was last updated on 10/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11687081MEDICAIDALASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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