Pvch Clinical Laboratory Medical Group Inc

LBN: Pvch Clinical Laboratory Medical Group Inc
Pvch Clinical Laboratory Medical Group Inc is an health care organization with primary practice located at 1798 N. Garey Ave , Pomona Valley CA 91767-2918. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Pvch Clinical Laboratory Medical Group Inc can be contacted via phone (909) 865-9500, or through Nasca, David via phone (909) 865-9824.

Contact Information

Primary practice address
1798 N. Garey Ave Pomona Valley CA 91767-2918
Phone: (909) 865-9500
Fax: (419) 866-5453
Website:
Map and Directions
Authorized official contact:
Name: Nasca, David Doctor of Medicine (MD)
Phone: (909) 865-9824

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1235265851
LBN Legal business name Pvch Clinical Laboratory Medical Group Inc
DBA Doing business as
Authorized official Nasca, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Dec 22nd, 2022 - about 2 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 1235265851 NPPES
California MEDICAID GR0091610
California Other ZZZ39226Z

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