Crestview Clinical Laboratory

LBN: Crestview Clinical Laboratory
Crestview Clinical Laboratory is an health care organization with primary practice located at 460 W Putnam Ave , Porterville CA 93257-3321. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Crestview Clinical Laboratory can be contacted via phone (559) 781-6975, or through Berglund, Roy via phone (559) 781-6975.

Contact Information

Primary practice address
460 W Putnam Ave Porterville CA 93257-3321
Phone: (559) 781-6975
Fax: (559) 783-2084
Website:
Map and Directions
Authorized official contact:
Name: Berglund, Roy Doctor of Medicine (MD)
Phone: (559) 781-6975

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 05D0930808 California

Profile Details

NPI number 1750315008
LBN Legal business name Crestview Clinical Laboratory
DBA Doing business as
Authorized official Berglund, Roy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 17th, 2008 - about 16 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 1750315008 NPPES
California MEDICAID LAB30808F

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