100 Plaza Clinical Lab

LBN: 100 Plaza Clinical Lab Inc
100 Plaza Clinical Lab is an health care organization with primary practice located at 100 Ucla Medical Plz Suite #245, Los Angeles CA 90024-6970. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. 100 Plaza Clinical Lab Inc can be contacted via phone (310) 208-0099, or through Parsa, Bahram via phone (310) 208-0099.

Contact Information

Primary practice address
100 Ucla Medical Plz Suite #245 Los Angeles CA 90024-6970
Phone: (310) 208-0099
Fax: (310) 208-0963
Website:
Map and Directions
Authorized official contact:
Name: Parsa, Bahram M.D., PH.D.
Phone: (310) 208-0099

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF519 California

Profile Details

NPI number 1194834028
LBN Legal business name 100 Plaza Clinical Lab Inc
DBA Doing business as 100 Plaza Clinical Lab
Authorized official Parsa, Bahram M.D., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 27th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194834028 NPPES
California MEDICAID LAB58794F

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