MEDICARE: TOXICOLOGY MANAGEMENT SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1730426453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOXICOLOGY MANAGEMENT SERVICES

Provider Business Mailing Address
First Line	:	543 COUNTRY CLUB DR # B126
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-0637
Country	:	US
Telephone Number	:	805-416-1648
Fax Number	:	805-823-6519

Provider Business Practice Location Address
First Line	:	543 COUNTRY CLUB DR # B126
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93065-0637
Country	:	US
Telephone Number	:	805-416-1648
Fax Number	:	805-823-6519

Authorized Official
Title or Position	:	BDM
Name	:	CORT COLBERT
Credential	:
Telephone Number	:	805-522-9274

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	01/15/2013

Similar Medicare Providers

1225073588 — VALLEY ASSOCIATED UROLOGY MEDICARE GROUP INC
Practice Location Address:

200 COTTAGE AVE , STE 101
MANTECA, CA
95336-4935

Practice Phone: 209-239-2197
Practice Fax: 209-239-7672

1922519321 — CARLY AUSTIN RD, LD
Practice Location Address:

543 COUNTRY CLUB DR STE B516
SIMI VALLEY, CA
93065-0637

Practice Phone: 805-796-8436
Practice Fax:

1578245460 — NUTRITION PARTNERS IN HEALTH
Practice Location Address:

543 COUNTRY CLUB DR STE B516
SIMI VALLEY, CA
93065-0637

Practice Phone: 805-796-8436
Practice Fax:

1518784859 — DR. JOHN BRIAN WESTERDAHL PHD, MPH, RDN
Practice Location Address:

543 COUNTRY CLUB DR STE B333
SIMI VALLEY, CA
93065-0637

Practice Phone: 805-722-7958
Practice Fax:

1629908207 — HEARTLIGHT HEALING COLLECTIVE
Practice Location Address:

543 COUNTRY CLUB DR # 403
SIMI VALLEY, CA
93065-0637

Practice Phone: 310-426-8118
Practice Fax:

1548321979 — DR. DIANA FOLMSBEE DMD
Practice Location Address:

995 W 7TH ST
OXNARD, CA
93030-6757

Practice Phone: 805-890-2301
Practice Fax: 805-204-0973

Directions to “TOXICOLOGY MANAGEMENT SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.