Organization Active NPI

Odyssey Clinical Laboratories

  • Clinical Medical Laboratory
  • La Verne, CA
National Provider Identifier
1023342649
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ODYSSEY CLINICAL LABORATORIES
Practice address
2061 Wright St
Suite A3
La Verne, CA 91750-5837
Phone
(909) 593-6999
NPI assigned
Sep 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Mr. Adriano Torres
Title
President/Ceo
Phone
(909) 593-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2061 Wright St
Suite A3
La Verne, CA 91750-5837

Mailing address

2061 Wright St
Suite A3
La Verne, CA 91750-5837

National Provider Directory

National Provider Directory

Locations

2061 Wright Ave
Ste A3
La Verne, CA 91750
Phone (909) 593-6999

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1023342649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 WRIGHT ST",
            "address_2": "SUITE A3",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 WRIGHT ST",
            "address_2": "SUITE A3",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917505837",
            "telephone_number": "909-593-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODYSSEY CLINICAL LABORATORIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ADRIANO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-593-6999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Verne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; 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.