California Specimen Collection

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

CALIFORNIA SPECIMEN COLLECTION

Practice address

1804 Buckeye St
Highland, CA 92346-4616

Phone

(909) 888-1600

NPI assigned

Apr 19, 2010

Last updated

Apr 19, 2010By 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

Mr. Russell Hanson

Title

Partner

Phone

(909) 888-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1053637892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923460746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 BUCKEYE ST",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923464616",
            "telephone_number": "909-888-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA SPECIMEN COLLECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "909-888-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Highland, CA
• Providers in Highland, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.