Clinical Pathology Laboratory Of Antalope Valley

LBN: Clinical Pathology Laboratory Of Antalope Valley
Clinical Pathology Laboratory Of Antalope Valley is an health care organization with primary practice located at 41210 11Th St West Suite I, Palmdale CA 93551. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Clinical Pathology Laboratory Of Antalope Valley can be contacted via phone (661) 267-7733, or through Brahen, Louis via phone (661) 267-7733.

Contact Information

Primary practice address
41210 11Th St West Suite I Palmdale CA 93551
Fax: (661) 273-3096
Website:
Authorized official contact:
Name: Brahen, Louis Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 05DO862432 California

Profile Details

NPI number 1629084488
LBN Legal business name Clinical Pathology Laboratory Of Antalope Valley
DBA Doing business as
Authorized official Brahen, Louis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1629084488 NPPES
California MEDICAID LAB09501F
California Other C19379

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