Riverside Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIVERSIDE CLINICAL LABORATORY INC

Practice address

7177 Brockton Ave Ste 338
Riverside, CA 92506-2634

Phone

(248) 207-8903

NPI assigned

Jan 21, 2022

Last updated

Jun 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyder Mohammed

Title

President

Phone

(248) 207-8903

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1033861935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 338",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062634",
            "telephone_number": "248-207-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 BROCKTON AVE STE 338",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062634",
            "telephone_number": "248-207-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "HYDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-207-8903"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Childrens Speech Services Inc
• Riverside Chiropractic Center Mak PC
• Riverside Chiropractic Center Mak PC
• Riverside City College
• Riverside City Gym, Inc.
• Riverside Co. Dept. of Mental Health
• Riverside Co. Dept. of Mental Health
• Riverside Co. Dept. of Mental Health
• Riverside Community Health Foundation
• Riverside Community Health Plan Medical Group, Inc (Riverside Physician Network)

• Clinical Medical Laboratory in Riverside, CA
• Providers in Riverside, 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 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.