ALASKA SPINE INSTITUTE SURGERY CENTER, LLC
Ambulatory Health at University Lake Dr, Anchorage, AK

License number
Alaska 719851
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: MRS. LESA JOHNSON
Title: ADMINISTRATOR
Phone: (907) 762-6340
Address
Address
3801 University Lake Dr STE 100, Anchorage, AK 99508
National Provider ID: 1316942048
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALASKA SPINE INSTITUTE SURGERY CENTER, LLC

Anchorage, AK

Doing business as:
2-5 LLC
Registration:
Feb 10, 2003
Addresses:
3801 Lk Otis Pkwy SUITE 300, Anchorage, AK 99508 (Mailing)
3801 University Lk Dr SUITE 100, Anchorage, AK 99508 (Physical)
State ID:
78961D
Business type:
Limited Liability Company
Previous name:
2-5 LLC
Expiration:
Perpetual
Managers:
Eugene M. Chang (Manager),Larry A. Levine (Member, Manager),Marc Kornmasser (Manager),...
Agent:
Mb Services, Inc,845 K St, Anchorage, AK 99501 (Mailing)
Next Report:
20170102

Alaska Spine Institute Surgery Center, LLC

550 W 7 Ave, Anchorage, AK 99501

Status:
Inactive
Industry:
Medical Doctor's Office
Administrations:
Shawn P. Johnston (Principal),Lesa H. Johnson Administration, inactive

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