OrganizationActive
Mat-Su Medical Laboratory, LLC.
NPI 1861742793 · Clinical Medical Laboratory · Wasilla, AK
Provider details
- NPI number
- 1861742793
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Pauline Bullard, Owner(907) 376-1122
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
224 N Yenlo St Ste 3b
Wasilla, AK 99654-7195
Phone: (907) 376-1122
Street-level locationGet directions
Mailing address
224 N Yenlo St Ste 3b
Wasilla, AK 99654-7195
Registry dates
- Enumerated
- 2012-09-18
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.