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1992866263 NPI number — CENTRAL REFERENCE LABORATORY INC

NPI Number: 1992866263
Health Care Provider/Practitioner: CENTRAL REFERENCE LABORATORY INC

Information about “1992866263” NPI (CENTRAL REFERENCE LABORATORY INC) exists in 1992866263 in HTML format HTML  |  1992866263 in plain Text format TXT  |  1992866263 in PDF (Portable Document Format) PDF  |  1992866263 in an XML format XML  formats.

NPI Number : 1992866263 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992866263",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRAL REFERENCE LABORATORY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1470 S.VALLEY VISTA DR",
    "SecondLineMailingAddress": "100",
    "MailingAddressCityName": "DIAMOND BAR",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91765-3903",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "909-861-6966",
    "MailingAddressFaxNumber": "909-860-6396",
    "FirstLinePracticeLocationAddress": "1470 S.VALLEY VISTA DR",
    "SecondLinePracticeLocationAddress": "100",
    "PracticeLocationAddressCityName": "DIAMOND BAR",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91765-3903",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "909-861-6966",
    "PracticeLocationAddressFaxNumber": "909-860-6396",
    "EnumerationDate": "12/12/2006",
    "LastUpdateDate": "12/14/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RAJAEE",
    "AuthorizedOfficialFirstName": "ABBAS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CEO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.SC.,J.D.",
    "AuthorizedOfficialTelephoneNumber": "90908616966",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "291U00000X",
        "TaxonomyName": "Clinical Medical Laboratory",
        "LicenseNumber": "CLF4032",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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