Advanced Clinical Laboratories
LBN: La Good Samaritan Pathology Medical Group, Inc.
Advanced Clinical Laboratories is an health care organization with primary practice located at 2777 Pacific Ave Suite H201& I202, Long Beach CA 90806-2625. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
La Good Samaritan Pathology Medical Group, Inc. can be contacted via phone (562) 981-0100, or through Khial, Shahram via phone (818) 216-0725.
Contact Information
Primary practice address
2777 Pacific Ave Suite H201& I202
Long Beach CA 90806-2625
Phone: (562) 981-0100
Fax: (562) 981-0600
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | ||
| Laboratories / Clinical Medical Laboratory | 291U00000X | CLF0001448 | California |
Profile Details
| NPI number | 1336100759 |
|---|---|
| LBN Legal business name | La Good Samaritan Pathology Medical Group, Inc. |
| DBA Doing business as | Advanced Clinical Laboratories |
| Authorized official | Khial, Shahram PH.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 30th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336100759 | NPPES |
| California | Other | ZZZ55908Z | BLUE SHIELD |
| California | Other | ED741A | BLUE SHIELD |
| California | MEDICAID | LAB02841F | BLUE SHIELD |
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