Active NPI
Unilab Corporation
- Clinical Medical Laboratory
- Ventura, CA
National Provider Identifier
1043359938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D1023908
- Legal business name
- UNILAB CORPORATION
- Practice address
- 2065 Sperry Ave
Suite a
Ventura, CA 93003-7451 - Phone
- (805) 658-0225
- NPI assigned
- Feb 6, 2007
- Organization subpart
- Yes
- Parent organization
- QUEST DIAGNOSTICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald Scott Cartier
- Title
- VP of Revenue Services
- Phone
- (484) 676-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 05D1023908 | CA | Primary |
Addresses
Primary practice location
2065 Sperry Ave
Suite a
Ventura, CA 93003-7451
Mailing address
1001 Adams Ave Mrgov
2ND Floor
Norristown, PA 19403-2429
Phone (484) 676-7000
Other names 1
- Quest Diagnostics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040204001064 | CA | Part B Supplier - Independent Clinical Laboratory | 7618874512 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arcadia, CA; Orange, CA; Redlands, CA; San Diego, CA; Ventura, CA; West Hills, CA |
Other NPIs on the same Medicare enrollment 13
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Downey, CA
- NPI 1386783637
O20040204001064
National Provider Directory
National Provider Directory- Part of
- Questdiagnost Ic Inc
Locations
2065 Sperry Ave
Ste A
Ventura, CA 93003
Phone (805) 650-4858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1043359938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 ADAMS AVE MRGOV",
"address_2": "2ND FLOOR",
"city": "NORRISTOWN",
"state": "PA",
"postal_code": "194032429",
"telephone_number": "484-676-7000",
"fax_number": "484-676-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 SPERRY AVE",
"address_2": "SUITE A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930037451",
"telephone_number": "805-658-0225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNILAB CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEST DIAGNOSTICS",
"enumeration_date": "2007-02-06",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "CARTIER",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "VP OF REVENUE SERVICES",
"authorized_official_telephone_number": "484-676-7000"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": "05D1023908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Quest Diagnostics",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 6, 2012; 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.