Eden Laboratories Medical Group

LBN: Eden Laboratories Medical Group
Eden Laboratories Medical Group is an health care organization with primary practice located at 20103 Lake Chabot Rd , Castro Valley CA 94546-5341. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Eden Laboratories Medical Group can be contacted via phone (510) 889-5036, or through Leipper, Kenneth via phone (510) 889-5036.

Contact Information

Primary practice address
20103 Lake Chabot Rd Castro Valley CA 94546-5341
Phone: (510) 889-5036
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Leipper, Kenneth Doctor of Medicine (MD)
Phone: (510) 889-5036

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1982666053
LBN Legal business name Eden Laboratories Medical Group
DBA Doing business as
Authorized official Leipper, Kenneth Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 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 1982666053 NPPES
California MEDICAID GR0014940

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