Clean Testing Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D2051772 Issued in CA

Legal business name

CLEAN TESTING SERVICES

Practice address

1650 Adams Ave
Costa Mesa, CA 92626-4958

Phone

(949) 430-7076

NPI assigned

Feb 14, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lee Heiligman

Title

Ceo

Phone

(949) 430-7076

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1003155896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3211",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926590855",
            "telephone_number": "949-430-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ADAMS AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264958",
            "telephone_number": "949-430-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN TESTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "HEILIGMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-430-7076",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D2051772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA ID",
            "identifier": "05D2051772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Irene Clark, MFT
• Konner Steven Clarson
• Claudio M. Carvalho, D.O, a Professional Medical Corporation
• Clean & Sober Living Corp
• Clean Path Recovery, LLC
• Clear Choice Helpuhear, Inc.
• Clear Detox Center Inc.
• Carolyn Grace Cledera, LCSW #76937
• Stephanie Clements
• Joey Lynn Clevenger

• Clinical Medical Laboratory in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.