Organization Active NPI

Harris Histology Services

  • Clinical Medical Laboratory
  • Tustin, CA
National Provider Identifier
1003810409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
HT-009490 Issued in CA
Legal business name
HARRIS HISTOLOGY SERVICES
Practice address
630 S B St
Tustin, CA 92780-4318
Phone
(714) 832-4041
Fax
(714) 832-4127
NPI assigned
Jun 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Rick Harris, HT(ASCP)
Title
Owner/Chief Histotech
Phone
(714) 832-4041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X HT-009490 CA Primary

Addresses

Primary practice location

630 S B St
Tustin, CA 92780-4318

Mailing address

630 S B St
Tustin, CA 92780-4318
Phone (714) 832-4041

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003810409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S B ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804318",
            "telephone_number": "714-832-4041",
            "fax_number": "714-832-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S B ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804318",
            "telephone_number": "714-832-4041",
            "fax_number": "714-832-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS HISTOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER/CHIEF HISTOTECH",
        "authorized_official_telephone_number": "714-832-4041",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HT(ASCP)"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "HT-009490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.