Medical Sciences Laboratory Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF10868 Issued in CA

Legal business name

MEDICAL SCIENCES LABORATORY INC.

Practice address

1761 W Romneya Dr Ste a
Anaheim, CA 92801-1816

Phone

(714) 778-0281

Fax

(714) 778-2220

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Mohinder Pal Singh Gandhi, CLS

Title

Lab. Manager

Phone

(714) 778-0281

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053462507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4662",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928034662",
            "telephone_number": "714-778-0281",
            "fax_number": "714-778-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 W ROMNEYA DR STE A",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011816",
            "telephone_number": "714-778-0281",
            "fax_number": "714-778-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SCIENCES LABORATORY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GANDHI",
        "authorized_official_first_name": "MOHINDER",
        "authorized_official_middle_name": "PAL SINGH",
        "authorized_official_title_or_position": "LAB. MANAGER",
        "authorized_official_telephone_number": "714-778-0281",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CLS"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF10868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "LAB94010F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Anaheim, CA
• Providers in Anaheim, 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 Aug 22, 2020; 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.