Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mat-Su Medical Laboratory, LLC

Organization Clinical Medical Laboratory · NPI 1861742793

Mat-Su Medical Laboratory, LLC is a Clinical Medical Laboratory in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2012.

Licensed in
AK
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

224 N Yenlo St Ste 3B
Wasilla, AK 99654-7195
Phone: (907) 376-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (AK)

Record details

NPI number1861742793
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pauline Bullard — Owner · (907) 376-1122
NPI enumeratedSeptember 18, 2012
Last updated in NPPESJuly 21, 2022
Mailing address224 N Yenlo St Ste 3b, Wasilla, AK 99654-7195

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