Alchemy Skin Lab & Electrolysis INC.
Technician, Other in Marysville, WA. Organization (NPI-2).
NPI number1659136604
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1659136604
- Entity type
- Organization (NPI-2)
- Legal business name
- Alchemy Skin Lab & Electrolysis INC.
- Organization subpart
- No
- Enumeration date
- Feb 19, 2024
- Certification date
- Feb 19, 2024
- Last updated
- Feb 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 261QM2500X | Clinic/Center, Medical Specialty | – | – |
Practice location
1106 Columbia Ave Ste 104Marysville, WA 98270-4343
Phone 360-502-7546 · Fax 360-925-6589
Mailing address
28306 Ne 147th CtDuvall, WA 98019-8134
Phone 206-390-0385 · Fax 360-925-6589
Authorized official
Ruben Alfonso Alanis
Cfo/Treasurer
2063900385
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