Shasta County Public Health Laboratory

LBN: Shasta County Public Health Laboratory
Shasta County Public Health Laboratory is an health care organization with primary practice located at 2650 Breslauer Way , Redding CA 96001-4246. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Shasta County Public Health Laboratory can be contacted via phone (530) 225-5072, or through Ewert, Donnell via phone (530) 245-6296.

Contact Information

Primary practice address
2650 Breslauer Way Redding CA 96001-4246
Fax: (530) 225-5061
Website:
Authorized official contact:
Name: Ewert, Donnell

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1063547131
LBN Legal business name Shasta County Public Health Laboratory
DBA Doing business as
Authorized official Ewert, Donnell
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Jan 2nd, 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 1063547131 NPPES
California MEDICAID LAB58363F

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