Healthcare Provider Details

I. General information

NPI: 1740511393
Provider Name (Legal Business Name): CPLM INTEGRATED PATHOLOGY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2010
Last Update Date: 06/21/2024
Certification Date: 06/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23845 MCBEAN PKWY DEPARTMENT OF PATHOLOGY
VALENCIA CA
91355-2001
US

IV. Provider business mailing address

23845 MCBEAN PARKWAY DEPARTMENT OF PATHOLOGY
VALENCIA CA
91355-2001
US

V. Phone/Fax

Practice location:
  • Phone: 800-288-8325
  • Fax: 310-423-0170
Mailing address:
  • Phone: 661-253-8713
  • Fax: 661-253-8647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ZC0006X
TaxonomyClinical Pathology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207ZH0000X
TaxonomyHematology (Pathology) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State

VIII. Authorized Official

Name: RASHIDA A. SONI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 800-288-8325