Organization Active NPI

Ventura Diagnostic Laboratory

  • Clinical Medical Laboratory
  • Ventura, CA
National Provider Identifier
1033854849
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
VENTURA DIAGNOSTIC LABORATORY
Practice address
3400 Loma Vista Rd Ste 7
Ventura, CA 93003-3057
Phone
(805) 645-0370
NPI assigned
May 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Casey AndertonNPI 1699410480
Title
Owner
Phone
(805) 645-0370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3400 Loma Vista Rd Ste 7
Ventura, CA 93003-3057

Mailing address

1165 N 7TH PL
Port Hueneme, CA 93041-2539
Phone (805) 645-0370

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Canderton@venturadiagnostics.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1033854849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 N 7TH PL",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412539",
            "telephone_number": "805-645-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 LOMA VISTA RD STE 7",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033057",
            "telephone_number": "805-645-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURA DIAGNOSTIC LABORATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "ANDERTON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-645-0370"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Canderton@venturadiagnostics.com",
            "affiliation": "N",
            "endpointDescription": "Direct message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3400 Loma Vista Rd Ste 7",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930033057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.