Antioch Medical Park Medical Lab in Antioch - Clinical Medical Laboratory
Antioch Medical Park Medical Lab - NPI 1518142090
Antioch Medical Park Medical Lab is a Clinical Medical Laboratory in Antioch, California. Antioch Medical Park Medical Lab practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Antioch Medical Park Medical Lab is 1518142090. The last update date is 2008-01-23.
Antioch Medical Park Medical Lab's current location address is 3737 Lone Tree Way, Antioch, California. You can contact this provider via phone number 9257541254 and fax number 9257541764. The mailing address for Antioch Medical Park Medical Lab is 3737 Lone Tree Way, Antioch, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Antioch Medical Park Medical Lab |
|---|---|
| Address | 3737 Lone Tree Way, Antioch, California |
| Phone Number | 9257541254 |
| Fax Number | 9257541764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Zimmerman Gene J |
| Credentials | MD |
| Telephone Number | 9257549223 |
NPI Number Detail
| NPI Number | 1518142090 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 3737 Lone Tree Way |
|---|---|
| City | Antioch |
| State | California (CA) |
| Post Code | 945096065 |
| Phone Number | 9257541254 |
| Fax Number | 9257541764 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | LAB97463F |
|
Definition: (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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LAB97463F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Antioch Medical Park Medical Lab by the Centers for Medicare & Medicaid Services?
The Antioch Medical Park Medical Lab has been assigned the NPI (National Provider Identifier) 1518142090 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Antioch Medical Park Medical Lab's facilities are situated?
The facilities of Antioch Medical Park Medical Lab are physically located at the following address: 3737 Lone Tree Way, Antioch, CA, 945096065.
What is Antioch Medical Park Medical Lab's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Antioch Medical Park Medical Lab's specialized field of practice is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of specialization is 291U00000X.
When did Antioch Medical Park Medical Lab receive its 1518142090 assignment?
The Antioch Medical Park Medical Lab was assigned its 1518142090 on 2008-01-03, which is the date when this unique identifier was issued to the organization.
When was the information related to Antioch Medical Park Medical Lab most recently updated or refreshed?
The details pertaining to the Antioch Medical Park Medical Lab, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-23.
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