Brandice Medical Associates Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

BRANDICE MEDICAL ASSOCIATES INC

Doing business as

Industrial Medical Diagnostics

Practice address

13575 Jasper Loop
Corona, CA 92879

Phone

(951) 340-1800

Fax

(951) 340-1824

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Martin J Pryal

Title

President

Phone

(951) 340-1800

Specialties & licenses 1

Addresses

Other names 1

• Industrial Medical Diagnostics Doing business as

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1053711739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 MAGNOLIA AVE",
            "address_2": "STE. D-336",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-340-1800",
            "fax_number": "951-340-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 JASPER LOOP",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-340-1800",
            "fax_number": "951-340-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDICE MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "PRYAL",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-340-1800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Industrial Medical Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Augustus Brady
• Brooklyn Branch
• Cathleen Branch
• Branches Recovery Center
• Karyn Brand
• Brandon Hoang Dental Corporation
• Brandon Hoang Dental Corporation
• Meghan Brandt
• Josh Brannen
• Kammi Brantley

• Clinical Medical Laboratory in Corona, CA
• Providers in Corona, 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 29, 2014; 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.