St. John'S Pleasant Valley Hospital Outpatient Lab

LBN: Dignity Health
St. John'S Pleasant Valley Hospital Outpatient Lab is an health care organization with primary practice located at 2309 Antonio Ave , Camarillo CA 93010-1414. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Dignity Health can be contacted via phone (805) 389-5880, or through Wardwell, Robert via phone (805) 389-5113.

Contact Information

Primary practice address
2309 Antonio Ave Camarillo CA 93010-1414
Fax: (805) 389-5883
Website:
Authorized official contact:
Name: Wardwell, Robert

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLF 2581 California

Profile Details

NPI number 1780843805
LBN Legal business name Dignity Health
DBA Doing business as St. John'S Pleasant Valley Hospital Outpatient Lab
Authorized official Wardwell, Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Jun 4th, 2008
Last updated Sep 23rd, 2013 - about 11 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 1780843805 NPPES
Other ZZZA5606Z BSCA
Other 870692236930100002 BSCA
Other 51406 BSCA
Other 870692236930100000 BSCA
MEDICAID HSP40616I BSCA
Other 870692236B BSCA

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