Organization Active NPI

American Cardio Labs

  • Physiological Laboratory
  • Corona, CA
National Provider Identifier
1033424551
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
AMERICAN CARDIO LABS
Practice address
255 E Rincon St Ste 210
Corona, CA 92879-1368
Phone
(951) 776-7314
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Authorized official

Name
Darin Slack, CCT
Title
Member
Phone
(951) 776-7314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

255 E Rincon St Ste 210
Corona, CA 92879-1368

Mailing address

255 E Rincon St Ste 210
Corona, CA 92879-1368
Phone (951) 776-7314

National Provider Directory

National Provider Directory

Locations

255 E Rincon St
Ste 210
Corona, CA 92879
Phone (855) 329-5794

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462924800000",
    "number": "1033424551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E RINCON ST STE 210",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791368",
            "telephone_number": "951-776-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E RINCON ST STE 210",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791368",
            "telephone_number": "951-776-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN CARDIO LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2016-05-11",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "DARIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "951-776-7314",
        "authorized_official_credential": "CCT"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.