Crestview Clinical Laboratory in Porterville - Clinical Medical Laboratory

Crestview Clinical Laboratory - NPI 1750315008

Crestview Clinical Laboratory is a Clinical Medical Laboratory in Porterville, California. Crestview Clinical Laboratory practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Crestview Clinical Laboratory is 1750315008. The last update date is 2008-10-17.

Crestview Clinical Laboratory's current location address is 460 W Putnam Ave, Porterville, California. You can contact this provider via phone number 5597816975 and fax number 5597832084. The mailing address for Crestview Clinical Laboratory is 460 W Putnam Ave, Porterville, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Crestview Clinical Laboratory
Address 460 W Putnam Ave, Porterville, California
Phone Number 5597816975
Fax Number 5597832084
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Berglund Roy
Credentials M.D.
Telephone Number 5597816975

NPI Number Detail

NPI Number 1750315008
Provider Enumeration Date 2006-07-11
Last Updated Date 2008-10-17

Provider Mailing Address Detail

Address 460 W Putnam Ave
City Porterville
State California (CA)
Post Code 932573321
Phone Number 5597816975
Fax Number 5597832084

Provider's Primary Taxonomy Detail

Speciality Clinical Medical Laboratory
Taxonomy 291U00000X
Licence No 05D0930808
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LAB30808F CA --

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FAQs about Crestview Clinical Laboratory

What is the unique 10-digit identification code issued to Crestview Clinical Laboratory by the Centers for Medicare & Medicaid Services?

The Crestview Clinical Laboratory has been assigned the NPI (National Provider Identifier) 1750315008 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Crestview Clinical Laboratory's physical address?

The Crestview Clinical Laboratory is physically located at 460 W Putnam Ave, in the city of Porterville, CA, with the postal code 932573321.

What is the area of specialization for Crestview Clinical Laboratory, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Crestview Clinical Laboratory is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this area of expertise is 291U00000X.

On what date did the Crestview Clinical Laboratory receive the assignment of its 1750315008 from the Centers for Medicare & Medicaid Services?

The Crestview Clinical Laboratory was issued its 1750315008 by the Centers for Medicare & Medicaid Services on 2006-07-11.

When was the information related to Crestview Clinical Laboratory most recently updated or refreshed?

The details pertaining to the Crestview Clinical Laboratory, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-10-17.

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