Rheumatology Diagnostics Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF3096 Issued in CA

Legal business name

RHEUMATOLOGY DIAGNOSTICS LABORATORY INC

Practice address

10755 Venice Blvd
Los Angeles, CA 90034-6214

Phone

(310) 253-5455

Fax

(310) 253-5466

NPI assigned

Aug 29, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Allan Metzger

Title

Ceo

Phone

(310) 253-5455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rheumatology Reference Laboratory Other name

Locations

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1013900778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10755 VENICE BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900340020",
            "telephone_number": "310-253-5455",
            "fax_number": "310-253-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10755 VENICE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346214",
            "telephone_number": "310-253-5455",
            "fax_number": "310-253-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY DIAGNOSTICS LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-253-5455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF3096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ593112",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology Reference Laboratory",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sophia Rhee, L.AC
• Dae Soon Rheem, M.D.
• Justin Youngbin Rheem, M.D.
• Christina Rheingold
• Rheumatology and Diagnostic Center
• David Changjeen Rhew, M.D.
• RHMG LLC
• Amber Rho, D.P.T.
• Benjamin Bong Ho Rho, LIAC OMD PHD
• Esther Rho

• Clinical Medical Laboratory in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 11, 2019; 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.