Eden Laboratories Medical Group in Van Nuys - Clinical Medical Laboratory
Eden Laboratories Medical Group - NPI 1982666053
Eden Laboratories Medical Group is a Clinical Medical Laboratory in Van Nuys, California. Eden Laboratories Medical Group practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Eden Laboratories Medical Group is 1982666053. The last update date is 2020-08-22.
Eden Laboratories Medical Group's current location address is Po Box 10076, Van Nuys, California. You can contact this provider via phone number 8055788300 and fax number 8055788950. The mailing address for Eden Laboratories Medical Group is Po Box 10076, Van Nuys, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Eden Laboratories Medical Group |
|---|---|
| Address | Po Box 10076, Van Nuys, California |
| Phone Number | 8055788300 |
| Fax Number | 8055788950 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Leipper Kenneth |
| Credentials | MD |
| Telephone Number | 5108895036 |
NPI Number Detail
| NPI Number | 1982666053 |
|---|---|
| Provider Enumeration Date | 2006-04-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 10076 |
|---|---|
| City | Van Nuys |
| State | California (CA) |
| Post Code | 914100076 |
| Phone Number | 8055788300 |
| Fax Number | 8055788950 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
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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 |
|---|---|---|---|
| GR0014940 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eden Laboratories Medical Group by the Centers for Medicare & Medicaid Services?
The Eden Laboratories Medical Group has been assigned the NPI (National Provider Identifier) 1982666053 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Eden Laboratories Medical Group located?
The Eden Laboratories Medical Group is located at Po Box 10076, Van Nuys, CA 914100076.
What is Eden Laboratories Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eden Laboratories Medical Group is Clinical Medical Laboratory, and the taxonomy code that categorizes this field of expertise is 291U00000X.
On what date did the Eden Laboratories Medical Group receive the assignment of its 1982666053 from the Centers for Medicare & Medicaid Services?
The Eden Laboratories Medical Group was issued its 1982666053 by the Centers for Medicare & Medicaid Services on 2006-04-04.
As of what date were the details pertaining to Eden Laboratories Medical Group last refreshed?
The information related to the Eden Laboratories Medical Group, including its address, specialty, and other relevant details, was last updated on 2020-08-22.